Active NPI
Lisa M Horne
- School Psychologist
- Bedford, NH
National Provider Identifier
1407442262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 75682
- Practice address
- 108 Liberty Hill Rd
Bedford, NH 03110-5637 - Phone
- (603) 472-3951
- NPI assigned
- Dec 16, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 75682 | NH | Primary |
Addresses
Primary practice location
108 Liberty Hill Rd
Bedford, NH 03110-5637
Mailing address
108 Liberty Hill Rd
Bedford, NH 03110-5637
Phone (603) 472-3951
Other names 1
- Lisa M Desruisseaux
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 |
|---|---|---|---|
| 75682 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1407442262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LIBERTY HILL RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105637",
"telephone_number": "603-472-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LIBERTY HILL RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105637",
"telephone_number": "603-472-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "LISA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "75682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "DESRUISSEAUX",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.