Lisa Linette Sathre, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

40475 Issued in AZ

Practice address

4930 N 1St Ave
Tucson, AZ 85718-5615

Phone

(520) 577-3333

Fax

(520) 577-4685

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Lisa Linette Laney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.sathre@speds.eclinicaldirectplus.com

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

• Skyline Pediatrics Professional Corporation

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1184948416
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1295938629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHRE",
        "first_name": "LISA",
        "middle_name": "LINETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "40475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355175",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LANEY",
            "middle_name": "LINETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Carol Sassenrath, PHARMD
• Maria Magdalena Loredana Sasso
• Emma Satava, DDS
• James Sather, DDS
• Joseph James Sathre, RPH
• Satinder S. Purewal, M.D. LLC
• Lisa Anne Sato, FNP
• Sam Edwin Sato, M.D.
• Jaimie Satre
• Wayne Satten, PSY.D.

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.