Active NPI
Lisa A Dillhunt, M.ED
- Developmental Therapist
- De Pere, WI
National Provider Identifier
1235484874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 810
- Practice address
- 209 S Huron St
De Pere, WI 54115-2820 - Phone
- (920) 327-2352
- NPI assigned
- Jul 19, 2012
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 810 | WI | Primary |
Addresses
Primary practice location
209 S Huron St
De Pere, WI 54115-2820
Mailing address
209 S Huron St
De Pere, WI 54115-2820
Phone (920) 327-2352
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1235484874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S HURON ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152820",
"telephone_number": "920-327-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S HURON ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152820",
"telephone_number": "920-327-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLHUNT",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": "WI",
"license": "810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.