Individual provider Active NPI

Lisa Lynn Riston, RN

  • Registered Nurse
  • Schenectady, NY
National Provider Identifier
1053157040
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704295765 Issued in MI
Practice address
625 State St
Schenectady, NY 12305-2111
Phone
(910) 987-3272
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 837080 NY
Registered Nurse 163W00000X 334093 NC
Registered Nurse 163W00000X 502627 OH
Registered Nurse 163W00000X 209736 OK
Registered Nurse 163W00000X RN750262 PA
Registered Nurse 163W00000X RN70608 RI
Registered Nurse 163W00000X 179063 IA
Registered Nurse 163W00000X 14-162-670-111 KS
Registered Nurse 163W00000X 65168 NM
Registered Nurse 163W00000X 4704295765 MI Primary
Registered Nurse 163W00000X 1-186919 AL
Registered Nurse 163W00000X 227940 AR
Registered Nurse 163W00000X 1689599 CO
Registered Nurse 163W00000X 41510132 IL
Registered Nurse 163W00000X RN318073 GA

Addresses

Primary practice location

625 State St
Schenectady, NY 12305-2111

Mailing address

625 State St
Schenectady, NY 12305-2111
Phone (910) 987-3272

Other names 1

  • Lisa Lynn Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-186919ALMDRegistered Nurse
227940ARMDRegistered Nurse
1689599COMDRegistered Nurse
RN318073GAMDRegistered Nurse
179063IAMDRegistered Nurse
41510132ILMDRegistered Nurse
14-162-670-111KSMDRegistered Nurse
4704295765MIMDRegistered Nurse
334093NCMDRegistered Nurse
65168NMMDRegistered Nurse
837080NYMDRegistered Nurse
502627OHMDRegistered Nurse
209736OKMDRegistered Nurse
RN750262PAMDRegistered Nurse
RN70608RIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Belong Medical Group PC CurrentSince Jul 21, 2024 Accepting new patients

Locations

625 State St
Schenectady, NY 12305
Phone (518) 388-2034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1053157040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052111",
            "telephone_number": "910-987-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052111",
            "telephone_number": "910-987-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTON",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "837080",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "334093",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "502627",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "209736",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN750262",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN70608",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "179063",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-162-670-111",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "65168",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704295765",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-186919",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "227940",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1689599",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "41510132",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN318073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "THOMPSON",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.