Lise LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LISE LLC

Practice address

370 Doolittle Rd
Woodbury, TN 37190-1129

Phone

(877) 743-2646

NPI assigned

Jun 1, 2022

Last updated

Jun 5, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sekou MoletteNPI 1932129400

Title

President

Phone

(615) 260-8829

Specialties & licenses 1

Addresses

Other names 1

• lise Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sekou F Molette, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nashville, TN
  • NPI 1932129400
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1013656792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CINEMA DR APT 2112",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756397",
            "telephone_number": "615-260-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901129",
            "telephone_number": "877-743-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "MOLETTE",
        "authorized_official_first_name": "SEKOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-260-8829"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lise",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Karen Anne Maloney, RN
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• Medical Specialty Clinic/Center in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.