Individual provider Active NPI

Lisa Bachant, R.N.

  • Registered Nurse
  • Montgomery, AL
National Provider Identifier
1497025787
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-063444 Issued in AL
Practice address
602 S Lawrence St
Montgomery, AL 36104-4787
Phone
(334) 293-7435
Fax
(334) 293-7374
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-063444 AL Primary

Addresses

Primary practice location

602 S Lawrence St
Montgomery, AL 36104-4787

Mailing address

602 S Lawrence St
Montgomery, AL 36104-4787
Phone (334) 293-7435

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-063444ALMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1497025787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S LAWRENCE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044787",
            "telephone_number": "334-293-7435",
            "fax_number": "334-293-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S LAWRENCE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044787",
            "telephone_number": "334-293-7435",
            "fax_number": "334-293-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHANT",
        "first_name": "LISA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-063444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.