Active NPI
Lisa P Meserole, ND, MS
- Naturopath
- Coupeville, WA
National Provider Identifier
1295986107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00000650
- Practice address
- 710 Ft Casey Rd
Coupeville, WA 98239-0899 - Phone
- (360) 678-3581
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | WA | ||
| Naturopath | 175F00000X | NT00000650 | WA | Primary |
Addresses
Primary practice location
710 Ft Casey Rd
Coupeville, WA 98239-0899
Mailing address
PO Box 899
Coupeville, WA 98239-0899
Phone (360) 678-3581
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT00000650 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1295986107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 899",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982390899",
"telephone_number": "360-678-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 FT CASEY RD",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982390899",
"telephone_number": "360-678-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESEROLE",
"first_name": "LISA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "ND, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00000650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.