Individual provider Active NPI

Lisa Ann Pallini, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1144280892
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0701 Issued in AZ
Practice address
4921E Bell Rd 205
Scottsdale, AZ 85254-6002
Phone
(602) 753-9043
Fax
(602) 753-9453
NPI assigned
Mar 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2213 MA
Foot Surgery Podiatrist 213ES0131X 2213 MA
Podiatrist 213E00000X 0701 AZ Primary

Addresses

Primary practice location

4921E Bell Rd 205
Scottsdale, AZ 85254-6002

Mailing address

16601N 40TH St 118
Phoenix, AZ 85032-3355
Phone (781) 572-2313

Other identifiers 5

IdentifierTypeStateIssuer
YY7152OtherMABCBS
91252OtherMAFALLON COMMUNITY HP
469746OtherMATUFTS HP
AA17218OtherMAHARVARD PILGRIM HEALTHCAR
NEIGHBORHOOD HPOtherMA0033412

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2213MAMDChiropractor
0701AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Doctor PC Podiatrist Past Accepting new patients
Neda at North Shore PC Past Accepting new patients
JMH Podiatry PLLC Podiatrist Past Accepting new patients
Andover Podiatry PC Podiatrist PastSince Jan 4, 1993 Accepting new patients
North Bridge Podiatry Group, P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1144280892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601N 40TH ST 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323355",
            "telephone_number": "781-572-2313",
            "fax_number": "602-753-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921E BELL RD 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546002",
            "telephone_number": "602-753-9043",
            "fax_number": "602-753-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLINI",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-26",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2213",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2213",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "YY7152",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HP",
            "identifier": "91252",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HP",
            "identifier": "469746",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA17218",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0033412",
            "identifier": "NEIGHBORHOOD HP",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.