Active NPI
Lisa Marie Puglisi
- Audiologist
- South Park, PA
National Provider Identifier
1275692881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT001024L
- Practice address
- 6360 Library Rd
South Park, PA 15129-8308 - Phone
- (412) 854-4080
- Fax
- (412) 854-5269
- NPI assigned
- Dec 8, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT001024L | PA | Primary |
Addresses
Primary practice location
6360 Library Rd
South Park, PA 15129-8308
Mailing address
1621 Southpine Dr
South Park, PA 15129-9024
Phone (724) 348-7657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001024L | PA | MD | Assistive Technology Practitioner Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275692881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 SOUTHPINE DR",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151299024",
"telephone_number": "724-348-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 LIBRARY RD",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298308",
"telephone_number": "412-854-4080",
"fax_number": "412-854-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLISI",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT001024L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.