Lisa Warner

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

370387 Issued in OH

Practice address

275 Emerald Cir
Dundee, MI 48131-2014

Phone

(419) 349-5742

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1285979518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 EMERALD CIR",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481312014",
            "telephone_number": "419-349-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 EMERALD CIR",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481312014",
            "telephone_number": "419-349-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "370387",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704281249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Vaisman, DDS
• Michael Todd Valentine, D.D.S.
• Beronda Vaughn, LPN
• Navneet Verma, PT
• Walgreen Co (Walgreens # 12288)
• Dawn M White, OTA/L
• Pamela A Williams, LMT, LE, RM
• Robert J Williams, LMT
• Jordan M Willson, DPT

• Registered Nurse in Dundee, MI
• Providers in Dundee, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.