Lisa Chism

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1316 S Owl Dr
Gilbert, AZ 85296-8470

Phone

(480) 868-8659

NPI assigned

Nov 21, 2019

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1255977633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S OWL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968470",
            "telephone_number": "480-868-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S OWL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968470",
            "telephone_number": "480-868-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Childers
• Childrens Oasis Pediatrics
• Sarah Kay Chinander, DPT
• Chiro Corp Management PLLC
• Chiropractic Solutions, Inc (Waller Biomechanics and Chiropractic)
• Gautamy Chitiki Dhadham, MD;MBBS
• Shannon Grace Chittenden, APRN-CNP
• Brian Cho, PHARMD
• Sung E Cho, NP
• David L Chong, M.D.

• Contractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.