Active NPI
Lisa S Gehenio, CRNP
- Adult Health Nurse Practitioner
- Lebanon, PA
National Provider Identifier
1477567592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- VP001495C
- Practice address
- 615 Cumberland St
Lebanon, PA 17042-5233 - Phone
- (717) 273-6741
- Fax
- (717) 273-6337
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | VP001495C | PA | Primary |
Addresses
Primary practice location
615 Cumberland St
Lebanon, PA 17042-5233
Mailing address
615 Cumberland St
Lebanon, PA 17042-5233
Phone (717) 273-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VP001495C | Other | PA | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1477567592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425233",
"telephone_number": "717-273-6741",
"fax_number": "717-273-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425233",
"telephone_number": "717-273-6741",
"fax_number": "717-273-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHENIO",
"first_name": "LISA",
"middle_name": "S",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "VP001495C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "VP001495C",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.