Lisa Farrer Gillette

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

10042 Mulberry LN
Grand Blanc, MI 48439-2535

Phone

(989) 513-0935

NPI assigned

May 1, 2015

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

Other identifiers 1

Other names 1

• Lisa Farrer Meschan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trac Autism Center Inc.

  • Behavior Analyst
  • Grand Blanc, MI
  • NPI 1154889459
  NPD Authorized official

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1124405873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10042 MULBERRY LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392535",
            "telephone_number": "989-513-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10042 MULBERRY LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392535",
            "telephone_number": "989-513-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5690 Stoney Pl S",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483164928",
            "country_code": "US",
            "telephone_number": "313-600-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "LISA",
        "middle_name": "FARRER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124405873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MESCHAN",
            "middle_name": "FARRER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan Gill, PHARMD
• Richard J Gill, PTA
• Tammy Gill
• Aleah Gillenkirk, MD
• Dustin William Gillett
• Bruce Alan Gilmore
• Julie A Giza
• Chris Gjerovski
• Glenn a Partridge DC PLC
• Global Physical Therapy and Spine Specialists

• Other Technician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.