Lisa Rosenberg

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

822278 Issued in TX

Practice address

4099 McEwen Rd Ste 250
Farmers Branch, TX 75244-5030

Phone

(972) 204-5092

NPI assigned

Jun 2, 2020

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 identifiers 1

Electronic endpoints 1

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1275157646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 VALENCIA LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 250",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445030",
            "telephone_number": "972-204-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "822278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXDL",
            "identifier": "08618832",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisa.rosenberg@gmr.com",
            "affiliation": "N",
            "address_1": "4099 McEwen Rd Ste 250",
            "city": "Farmers Branch",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752445030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorenzo Rivas, BCBA
• Bridgett Ellice Robinson
• Juliana Avila Robles, S.L.P.
• Bernadette Vargas Rodriguez, EIS
• Ashley Roman
• Antonia M Ross, NP-C
• Serenity Ross
• RSVP Pharmacy 7 LLC
• Cynthia A Saenz, EIS
• Nicole Salgado

• Administrator Registered Nurse in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.