Lisa Tieber Nielson, DVM

Primary specialty

SpecialistTaxonomy code 174400000X

License

17019 Issued in CA

Practice address

2600 Mission Bell Dr
San Pablo, CA 94806-3195

Phone

(510) 235-7800

NPI assigned

Sep 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lisa M Tieber Professional name

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1265916845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954921207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MISSION BELL DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063195",
            "telephone_number": "510-235-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Hampton Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954093815",
            "country_code": "US",
            "telephone_number": "707-478-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEBER NIELSON",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "17019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TIEBER",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlin Thomas, PT, DPT
• Donald George Thompson Jr., CATC
• Michael Wayne Thompson, CAS
• Shalon L Thompson
• Rosemarie Tibay, RN
• Cory T Tims
• Hardeep Toor
• Ana Lilia Torres
• Tracy T. Phillips, MD, Medical Corporation
• Tran and Tran, a Dental Corp

• Specialist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.