Active NPI
Margaret Lisi, AU.D.
- Audiologist
- Menlo Park, CA
National Provider Identifier
1073653325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2485
- Practice address
- 3555 Alameda de Las Pulgas
Ste 1
Menlo Park, CA 94025-6509 - Phone
- (650) 854-1980
- Fax
- (650) 854-1987
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 2485 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | HA 7220 | CA |
Addresses
Primary practice location
3555 Alameda de Las Pulgas
Ste 1
Menlo Park, CA 94025-6509
Mailing address
3555 Alameda de Las Pulgas
Ste 1
Menlo Park, CA 94025-6509
Phone (650) 854-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0023741 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2485 | CA | MD | Audiologist |
| HA 7220 | CA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1073653325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 ALAMEDA DE LAS PULGAS",
"address_2": "STE 1",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256509",
"telephone_number": "650-854-1980",
"fax_number": "650-854-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 ALAMEDA DE LAS PULGAS",
"address_2": "STE 1",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256509",
"telephone_number": "650-854-1980",
"fax_number": "650-854-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISI",
"first_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 2485",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA 7220",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0023741",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.