Lisa Teresita Gabourel-Dockery

Primary specialty

Registered Record AdministratorTaxonomy code 246YR1600X

Practice address

4265 Offshore Dr
Raleigh, NC 27610-4899

Phone

(919) 605-1189

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Lisa Dockery Other name

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1124731559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1512",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275451512",
            "telephone_number": "919-703-3662",
            "fax_number": "866-737-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 OFFSHORE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104899",
            "telephone_number": "919-605-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOUREL-DOCKERY",
        "first_name": "LISA",
        "middle_name": "TERESITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246YR1600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DOCKERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ildiko Gaal, DPT
• Imre Gaal Jr., M.D.
• Donald L. Gabig, R.PH.
• Kaitlyn Gable
• Tonya R Gable, LCSW
• Rhonda W. Gabr, M.D.
• Gabriel L Villena DDS PA
• Gabriel T. Chong, MD, PC
• Laurie Gabrieli
• David Mbugua Gacengeci, MD

• Health Information Specialist/Technologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Information Specialist/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.