Active NPI
Lisa Lee Alevizon, MD
- General Practice Physician
- Houme, LA
National Provider Identifier
1295810570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD023740
- Practice address
- 567 Corporate Drive
Houme, LA 70360 - Phone
- (985) 223-3811
- Fax
- (985) 223-3877
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD023740 | LA | Primary |
Addresses
Primary practice location
567 Corporate Drive
Houme, LA 70360
Mailing address
567 Corporate Drive
Houme, LA 70360
Phone (985) 223-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2015 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD023740 | LA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Health Medical Center | General Practice | Current | Accepting new patients |
Locations
567 Corporate Dr
Houma, LA 70360
Phone (985) 223-3811
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, 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": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295810570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 CORPORATE DRIVE",
"city": "HOUME",
"state": "LA",
"postal_code": "70360",
"telephone_number": "985-223-3811",
"fax_number": "985-223-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 CORPORATE DRIVE",
"city": "HOUME",
"state": "LA",
"postal_code": "70360",
"telephone_number": "985-223-3811",
"fax_number": "985-223-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEVIZON",
"first_name": "LISA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "MD023740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.