Individual provider Active NPI

Lisa Anne Rasmussen, DOCTOR OF PHARMACY

  • Ambulatory Care Pharmacist
  • Parachute, CO
National Provider Identifier
1205201092
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
14584 Issued in CO
Practice address
71 Sipprelle Dr
Parachute, CO 81635-9232
Phone
(970) 285-5661
NPI assigned
Dec 6, 2015
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
14584COMDAmbulatory Care Pharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 14584 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

71 Sipprelle Dr
Parachute, CO 81635-9232

Mailing address

PO Box 267
50742 Bear Run Drive
Mesa, CO 81643-0267
Phone (970) 985-0715

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1043536014MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2015.

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1205201092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "address_2": "50742 BEAR RUN DRIVE",
            "city": "MESA",
            "state": "CO",
            "postal_code": "816430267",
            "telephone_number": "970-985-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SIPPRELLE DR",
            "city": "PARACHUTE",
            "state": "CO",
            "postal_code": "816359232",
            "telephone_number": "970-285-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CO",
            "license": "14584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043536014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parachute, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.