Individual provider Active NPI

Lisa J. Pappa, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Romulus, NY
National Provider Identifier
1508178484
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401247-1 Issued in NY
Practice address
4887 State Route 96a
Hillside Childrens Center
Romulus, NY 14541-9767
Phone
(315) 585-3000
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401247-1 NY Primary

Addresses

Primary practice location

4887 State Route 96a
Hillside Childrens Center
Romulus, NY 14541-9767

Mailing address

7945 Shire LN
Victor, NY 14564-8732
Phone (585) 398-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001533 NY Practitioner - Nurse Practitioner 2668752189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401247-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wayne CurrentSince Jan 6, 2018 Accepting new patients

Locations

1519 Nye Rd
Ste 100
Lyons, NY 14489
Phone (315) 946-5722

1519 Nye Rd
Ste 110
Lyons, NY 14489
Phone (315) 946-5722

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1508178484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 SHIRE LN",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145648732",
            "telephone_number": "585-398-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 STATE ROUTE 96A",
            "address_2": "HILLSIDE CHILDRENS CENTER",
            "city": "ROMULUS",
            "state": "NY",
            "postal_code": "145419767",
            "telephone_number": "315-585-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPA",
        "first_name": "LISA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401247-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, NY

Sources for this page

Verify at the official NPI Registry.