Lisa Bass, DIETARY AIDE

Primary specialty

Dietary ManagerTaxonomy code 132700000X

Practice address

522 Mill Rd
Clarksville, AR 72830-8511

Phone

(479) 705-1301

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

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, last updated by the provider on Sep 30, 2013.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1275960759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 MILL RD",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728308511",
            "telephone_number": "479-705-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "LISA",
        "credential": "DIETARY AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bain, SHIFT SUPERVISORMHPP
• Jarrett Bain
• Donald L. Baker, OD
• Edith Barmore, RECOVERY ADVOCATE
• Brianna Barnett
• Jacquelyn Bateman
• Regan Bavis, RECOVERY ASSISTANT
• Vickie Bazyk
• Kathy Bean, SHIFT SUPVSR/MHPP
• Melisa Beaty

• All providers in Clarksville, AR
• Dietary Manager in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.