Lisa A Pruitt

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1017 Stone St
Sandusky, OH 44870-3179

Phone

(419) 656-7348

NPI assigned

Jan 5, 2007

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124175682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 STONE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703179",
            "telephone_number": "419-656-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 STONE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703179",
            "telephone_number": "419-656-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "LISA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Printy, M.D.
• Pro-Vision Inc
• Promedica Central Physicians LLC
• Adrian Protzman
• Providence Care Center
• Tristin Delrae Pruitt, STNA
• Tim Pudloski, MS, ATC, CSCS
• Cassandra Purcell
• Abdul Qadir, M.D.
• Debra J Racette, R.N.

• All providers in Sandusky, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.