Active NPI
Lisa M Nakashian, P.A.
- Physician Assistant
- Bloomfield, CT
National Provider Identifier
1346430709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002108
- Practice address
- 1 Barnard LN
Suite 201
Bloomfield, CT 06002-2481 - Phone
- (860) 761-6666
- Fax
- (860) 761-2502
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002108 | CT | Primary |
Addresses
Primary practice location
1 Barnard LN
Suite 201
Bloomfield, CT 06002-2481
Mailing address
1001 Washington Blvd
Robbinsville, NJ 08691-3119
Phone (732) 539-3973
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002108 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1346430709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WASHINGTON BLVD",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086913119",
"telephone_number": "732-539-3973",
"fax_number": "877-912-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNARD LN",
"address_2": "SUITE 201",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022481",
"telephone_number": "860-761-6666",
"fax_number": "860-761-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKASHIAN",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.