Lisa B Richardson, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332977-1 Issued in NY

Practice address

55 Joy Dr
Loudonville, NY 12211-1539

Phone

(518) 469-7588

NPI assigned

Jul 27, 2006

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa B D'Aiello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Gerson MD

  • Gastroenterology Physician
  • Albany, NY
  • NPI 1447345731
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1427072750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JOY DR",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 JOY DR",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111539",
            "telephone_number": "518-469-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332977-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "D'AIELLO",
            "middle_name": "B",
            "credential": "FAMILY NURSE PRACTIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcie L Pucci, RN, ATC
• Melissa Ravida, NP
• Michael Redfern, PHARMD
• Nina Resetkova, M.D.
• Richard Esmay,DDS & Mark Polsinellodmd.PC (Lasting Impressions)
• Rite Aid of New York Inc (Rite Aid Pharmacy 01557)
• Dianna Elizabeth Rossi, CCC-SLP
• Page V. Salenger, M.D.
• Diane G Schroeder, RPH
• Manal M Shawky

• Family Nurse Practitioner in Loudonville, NY
• Providers in Loudonville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.