Active NPI
Lisa Annette Rousseau, R.C.P.
- Certified Respiratory Therapist
- Moreno Valley, CA
National Provider Identifier
1396932737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 00016364
- Practice address
- 16598 Withers Way
Moreno Valley, CA 92555-3343 - Phone
- (951) 870-9007
- NPI assigned
- Oct 1, 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 00016364 | CA | Primary |
Addresses
Primary practice location
16598 Withers Way
Moreno Valley, CA 92555-3343
Mailing address
16598 Withers Way
Moreno Valley, CA 92555-3343
Phone (951) 870-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016364 | Other | CA | RESPIRATORY CARE BOARD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00016364 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1396932737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16598 WITHERS WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553343",
"telephone_number": "951-870-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16598 WITHERS WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553343",
"telephone_number": "951-870-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEAU",
"first_name": "LISA",
"middle_name": "ANNETTE",
"credential": "R.C.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "00016364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY CARE BOARD",
"identifier": "00016364",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.