Organization Active NPI

Lisa Hissong

  • Preferred Provider Organization
  • Newark, OH
National Provider Identifier
1396285714
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LISA HISSONG
Practice address
949 Guckert Ave
Newark, OH 43055-2635
Phone
(337) 301-1272
NPI assigned
Mar 4, 2017
Last updated
Mar 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Authorized official

Name
Lisa Marie Hissong
Title
LPN
Phone
(337) 301-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

949 Guckert Ave
Newark, OH 43055-2635

Mailing address

949 Guckert Ave
Newark, OH 43055-2635
Phone (337) 301-1272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1396285714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GUCKERT AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552635",
            "telephone_number": "337-301-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 GUCKERT AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552635",
            "telephone_number": "337-301-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA HISSONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "HISSONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "337-301-1272"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.