Lisa D Beers

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

526521-1 Issued in NY

Legal business name

LISA D BEERS

Practice address

7949 State Hwy 206
Trout Creek, NY 13847-0113

Phone

(607) 865-4623

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa D Beers, RN

Title

Nurse

Phone

(607) 865-4623

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1346440278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "TROUT CREEK",
            "state": "NY",
            "postal_code": "138470113",
            "telephone_number": "607-865-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 STATE HWY 206",
            "city": "TROUT CREEK",
            "state": "NY",
            "postal_code": "138470113",
            "telephone_number": "607-865-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA D BEERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "607-865-4623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "526521-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02569675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Marie McClenon, RN
• Dawn Marie Seward, LPN

• Point of Service in Trout Creek, NY
• Providers in Trout Creek, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.