Active NPI
Lisa Perreault
- Registered Nurse
- Tolland, CT
National Provider Identifier
1205236452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 84311
- Practice address
- 34 Johnson Rd
Tolland, CT 06084-2122 - Phone
- (800) 995-2673
- Fax
- (888) 979-6551
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 84311 | CT | Primary |
Addresses
Primary practice location
34 Johnson Rd
Tolland, CT 06084-2122
Mailing address
34 Johnson Rd
Tolland, CT 06084-2122
Phone (800) 995-2673
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84311 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1205236452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 JOHNSON RD",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842122",
"telephone_number": "800-995-2673",
"fax_number": "888-979-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 JOHNSON RD",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842122",
"telephone_number": "800-995-2673",
"fax_number": "888-979-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERREAULT",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "84311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolland, CT
- David Edward Palozej
- Denise Pantason, PTA
- Pawsitive Thoughts Counseling, LLC
- Aimee Pamela Marie Peloquin, LMT
- Peppermints and Perspectives, LLC
- Wendy J Petzel, LMFT
- Richard Pires
- Melissa Procaccini
- Professional Dental Alliance of Tolland, PLLC (Life Long Dental Care of Tolland)
- Prospect Echn Eldercare Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.