Lisa Mathai, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

794793 Issued in TX

Practice address

555 W Interstate 30
Walmart Care Clinic
Garland, TX 75043-5702

Phone

(214) 684-9954

NPI assigned

May 1, 2008

Last updated

Oct 19, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1346416195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W.INTERSTATE 30",
            "address_2": "WALMART CARE CLINIC",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435702",
            "telephone_number": "214-684-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W INTERSTATE 30",
            "address_2": "WALMART CARE CLINIC",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435702",
            "telephone_number": "214-684-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "794793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masih Home Health
• Janet R Mason, DDS
• Masters Home Health Care, Inc.
• Edith Isel Mata-Valdez
• Deborah Mata
• Stacy Mathai
• Ancel C Mathew, DMD
• Annie C Mathew, PHARM.D., CDE
• Lincy Mathew, RNFA, CNOR
• Merin Mathew

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.