Lisa Ivy

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

450 El Dorado Blvd
# 720
Webster, TX 77598-2317

Phone

(281) 282-7027

Fax

(281) 862-9148

NPI assigned

Mar 25, 2010

Last updated

Mar 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1073837670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2049",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775308049",
            "telephone_number": "281-282-7027",
            "fax_number": "281-862-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EL DORADO BLVD",
            "address_2": "# 720",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982317",
            "telephone_number": "281-282-7027",
            "fax_number": "281-862-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umer Irshad, M.D.
• David A Isaacs, CRNA
• Husam I. Issa, MD
• Wadih Issa, MD
• Sarah Istre
• Izuchukwu C Iwueke, M.D.
• Niranjan G Iyer, M.D.
• Jesseca Lynn Izquierdo, CNP
• Sakher Samer Ja'Anini, M.D.
• Sanjeeda Jabeen, MD

• Contractor in Webster, TX
• Providers in Webster, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.