Lisa Y CHI, MD
Individual provider Active NPI Pediatrics Physician · East Providence, RI
NPI 1215422944 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1215422944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD20828 (RI)
- Practice address
- 450 Veterans Memorial Pkwy # 10
East Providence, RI 02914-5300 - Phone
- (401) 438-6888
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156238 | IL | MD | Pediatrics Physician |
| MD20828 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDJDAA/Endpoint/CDJDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036156238 | IL | |
| Pediatrics Physician | 208000000X | MD20828 | RI | Yes |
Addresses
Primary practice location
450 Veterans Memorial Pkwy # 10
East Providence, RI 02914-5300
Mailing address
450 Veterans Memorial Pkwy # 10
East Providence, RI 02914-5300
Other providers in East Providence, RI
- Alexis C Charves
- Kelly Taber Chasse
- Myra A Chaudary
- Pauley Chea
- Andrew Chen
- Michelle Tedesco Choquette
- Church of the Sacred Heart
- Church of the Sacred Heart
- Denise Church
- City of East Providence
All providers in East Providence, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.