Lisa Marie Juarez Bostic

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1 Thompson Ave W
West Saint Paul, MN 55118-3100

Phone

(651) 587-7522

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Bostic Professional 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1184746612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 DODD RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183729",
            "telephone_number": "651-587-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON AVE W",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183100",
            "telephone_number": "651-587-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "LISA",
        "middle_name": "MARIE JUAREZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOSTIC",
            "middle_name": "MARIE",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Koser Baradan, PHARMD, RPH
• James R. Benzie, M.D.
• Alexandra Nicole Bergren, DMD
• Bio-Medical Applications of Minnesota, Inc.
• Mandie Bolton Kender
• Nasra D Budul
• Noah Bularz, DPT
• Edwin R Burrell, MD
• Busy Bee Home Health Care
• Michaela Erin Calhoun, C.C.A.

• Rehabilitation Practitioner in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Rehabilitation Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.