Individual provider Active NPI

Lisa L Decker Baumbach, PHD

  • Ph.D. Medical Genetics
  • Miami, FL
National Provider Identifier
1144525338
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
DI38534 Issued in FL
Practice address
1150 NW 14TH St
4TH Floor
Miami, FL 33136-2137
Phone
(305) 243-9068
Fax
(305) 243-4678
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X DI38534 FL Primary

Addresses

Primary practice location

1150 NW 14TH St
4TH Floor
Miami, FL 33136-2137

Mailing address

1150 NW 14TH St
4TH Floor
Miami, FL 33136-2137
Phone (305) 243-9068

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DI38534FLMDPh.D. Medical Genetics

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1144525338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-9068",
            "fax_number": "305-243-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-9068",
            "fax_number": "305-243-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER BAUMBACH",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "DI38534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.