NPIMap

Individual provider Active NPI

Lisa Lissette Burroughs-Thumi, MD

  • Pediatrics Physician
  • Albertville, AL
National Provider Identifier
1285631218
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD33241 Issued in AL
Practice address
460 Al Highway 75 N
Albertville, AL 35951-3838
Phone
(256) 891-0300
Fax
(256) 891-7461
NPI assigned
Jul 6, 2005
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD33241 AL Primary

Addresses

Primary practice location

460 Al Highway 75 N
Albertville, AL 35951-3838

Mailing address

460 Al Highway 75 N
Albertville, AL 35951-3838
Phone (256) 891-0300

Other identifiers 2

IdentifierTypeStateIssuer
178784MedicaidAL
51168235OtherALBCBS

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

LicenseStateTypeSpecialty
MD33241ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Family Health Center Inc. Past Accepting new patients
Central Florida Family Health Center, Inc. Past Accepting new patients
Smart Start Pediatrics LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lisa.burroughs-thumi.1@17358.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1285631218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-0300",
            "fax_number": "256-891-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-0300",
            "fax_number": "256-891-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS-THUMI",
        "first_name": "LISA",
        "middle_name": "LISSETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD33241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178784",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51168235",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.