Lisa Andree, MS, ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

12601 Issued in NY

Practice address

90 Patchogue Ave
Patchogue, NY 11772-1694

Phone

(631) 730-5553

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Interactions

  • Early Intervention Provider Agency
  • Holtsville, NY
  • NPI 1881465136
  NPD Authorized official

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1417101320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PATCHOGUE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721694",
            "telephone_number": "631-730-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PATCHOGUE AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721694",
            "telephone_number": "631-730-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREE",
        "first_name": "LISA",
        "credential": "MS, ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "12601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lori Jean Amodio, OTR/L
• Amanda Monique Anderson, RN
• Joellen Anderson, NP
• Katelynn Andriano, LCSW
• Natalia Aneiros
• Ijeoma Vivian Aneke, MD
• Angelo Biase, D.C., P.C.
• Gulbin Antapli-Zeb, PA-C

• All providers in Patchogue, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.