Lisa Marie Shea

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

25 Van Wagner Rd
Poughkeepsie, NY 12603-1683

Phone

(845) 462-6701

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1184362535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 COUNTY ROUTE 19",
            "city": "ELIZAVILLE",
            "state": "NY",
            "postal_code": "125231203",
            "telephone_number": "914-466-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VAN WAGNER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031683",
            "telephone_number": "845-462-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yash Sharma
• James Sharp, M.D.
• John F Shaughnessy, D.C.
• Donn Shaver, PT
• Patricia Shaver, LPN
• Caeley Sheehan, DO
• Leroy Kenneth Sheffer, DDS
• Abdul Basit Sheikh, MD
• Abdul-Haseeb Sheikh, MD
• Wen Shen, MD

• Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.