Active NPI
Lisa Elaine Schnettler, M.D.
- Pediatrics Physician
- Brookline, MA
National Provider Identifier
1275738031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 57.012152
- Practice address
- 28 James St Apt B
Brookline, MA 02446-3819 - Phone
- (513) 314-8052
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57.012152 | OH | Primary |
| Pediatrics Physician | 208000000X | 246647 | MA |
Addresses
Primary practice location
28 James St Apt B
Brookline, MA 02446-3819
Mailing address
28 James St Apt B
Brookline, MA 02446-3819
Phone (513) 314-8052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2961915 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.012152 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1275738031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 JAMES ST APT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463819",
"telephone_number": "513-314-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 JAMES ST APT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463819",
"telephone_number": "513-314-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNETTLER",
"first_name": "LISA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57.012152",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "246647",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2961915",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.