Active NPI
Lisa Marie Groves, MS, ED
- Specialist
- Albany, NY
National Provider Identifier
1154672855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8106
- Practice address
- 251 Washington Avenue Ext
Albany, NY 12205-5504 - Phone
- (518) 456-4466
- NPI assigned
- Sep 21, 2012
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8106 | NY | Primary |
Addresses
Primary practice location
251 Washington Avenue Ext
Albany, NY 12205-5504
Mailing address
251 Washington Avenue Ext
Albany, NY 12205-5504
Phone (518) 456-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8106 | Other | NY | SPECIALIST |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8106 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Childhood Education Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Albany, NY
- NPI 1396088332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1154672855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055504",
"telephone_number": "518-456-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055504",
"telephone_number": "518-456-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "8106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALIST",
"identifier": "8106",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
- Carolyn Heyward Grosvenor, MD, MPH
- Michael Joseph Groudas, L.M.S.W.
- Scott Bradley Groudine, M.D.
- Ground Level Licensed Clinical Social Work PLLC
- Group Health Incorporated (GHI Family Dental Practice)
- Growing Hands Occupational Therapy LLC
- Kacey Michelle Grubb-Robinson, RN, BSN
- Jordon Guy Grube, D.O.
- Michael Gruenthal, M.D., PH.D.
- Christabel Yudelka Grullon-Zannou, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.