Individual provider Active NPI

Margaret Lisi, AU.D.

  • Audiologist
  • Menlo Park, CA
National Provider Identifier
1073653325
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 2485 Issued in CA
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

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0023741MedicaidCA

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

LicenseStateTypeSpecialty
AU 2485CAMDAudiologist
HA 7220CAMDAudiologist-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.

Verify at the official NPI Registry.