Active NPI
Lisa Irwin, CST, CSFA
- Surgical Assistant
- Noblesville, IN
National Provider Identifier
1104214956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 156457
- Practice address
- 395 Westfield Rd
Noblesville, IN 46060-1425 - Phone
- (317) 770-2800
- NPI assigned
- Jan 2, 2015
- Last updated
- Jan 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 156457 | IN | Primary |
Addresses
Primary practice location
395 Westfield Rd
Noblesville, IN 46060-1425
Mailing address
11456 War Admiral Dr
Noblesville, IN 46060-4423
Phone (317) 446-6692
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156457 | IN | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1104214956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11456 WAR ADMIRAL DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604423",
"telephone_number": "317-446-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 WESTFIELD RD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460601425",
"telephone_number": "317-770-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "LISA",
"credential": "CST, CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IN",
"license": "156457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.