Lisa Mae Justus, REGISTERED NURSE

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN.447510 Issued in OH

Practice address

41641 N Ridge Rd
Elyria, OH 44035-1264

Phone

(440) 324-7406

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1225598972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36237 WESTFIELD DR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393839",
            "telephone_number": "440-865-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41641 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351264",
            "telephone_number": "440-324-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "LISA",
        "middle_name": "MAE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.447510",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.447510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Lender MD Inc.
• Abby Joy Joyce
• Peggy M Joyce, MA CCC-SLP
• Cynthia A Jude, PTA
• Pamala Justice
• Kailyn Juth, LISW-S
• Natalyn Kaeding
• Vijay Kakumanu, M.D.
• Michael Francis Kaminski, MD
• Belagodu N Kantharaj, MD

• Addiction (Substance Use Disorder) Registered Nurse in Elyria, OH
• Providers in Elyria, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.