Heather Lisi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01016300 Issued in NJ

Practice address

989 Burnt Tavern Rd
Brick, NJ 08724-2014

Phone

(732) 320-1366

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Heather Attardo Former name

Medicare fee-for-service enrollment

Enrolled in NJ, NY, FL, KY, DE5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615
  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1174331524
  Medicare reassignment NPD
• Openloop Healthcare Partners New Jersey PC

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1588335152
  Medicare reassignment NPD
• Visavis Health Care Medical Group of NJ LLC

  • Family Medicine Physician
  • Fair Lawn, NJ
  • NPI 1881336428
  Medicare reassignment NPD
• Visavis Health Care Medical Group of de PA

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1164284048
  Medicare reassignment NPD
• Visavis Health Care Medical Group of FL, PLLC

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1871235416
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Ky LLC

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1427831197
  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1427685205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242014",
            "telephone_number": "732-320-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISI",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349503-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01016300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ATTARDO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camille Anna Limongelli-Acosta, MS, NCC, LAC
• Emily Lindemann, LPC, LCADC
• Gary Charles Linn, MD
• Elaina Ann Lippsett, OTR/L
• Stuart Alan Lippsett, D.D.S.
• Stacy Lauderdale Littin, PH.D.
• Nicholas Liubicich
• Jessica Llamas, LCSW
• Scott James Lloyd, D.C.
• Erica Lo, RN, BSN, CNOR, RNFA

• Family Nurse Practitioner in Brick, NJ
• Providers in Brick, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.