Lisa Hussey, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN059199 Issued in AZ

Practice address

483 W. Seed Farm Rd
Sacaton, AZ 85247

Phone

(602) 528-1340

Fax

(602) 528-1296

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1093914053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 115",
            "address_2": "GILA RIVER HEALTH CARE CORPORATION CREDENTIALING",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470115",
            "telephone_number": "602-528-1340",
            "fax_number": "602-528-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W. SEED FARM RD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85247",
            "telephone_number": "602-528-1340",
            "fax_number": "602-528-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "LISA",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AZ",
            "license": "RN059199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody B Herschenhorn-Dominick, DDS
• Kurt Delmar Holiday
• Byron Ray Hollis
• Molly Hughes
• Huhukam Memorial Hospital Pharmacy
• Susanne M Iadanza, RD
• Stacey Rene Ivey, PT
• Gillian Jackson, PT
• Eva Jenner, DDS
• Doina Roxana Jianu, MD

• Diabetes Educator Registered Nurse in Sacaton, AZ
• Providers in Sacaton, AZ by specialty
• Diabetes Educator Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.