Lisa M Fallon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

API44027 Issued in TX

Practice address

6974 Gateway Blvd E Ste F
El Paso, TX 79915-1115

Phone

(915) 591-2704

Fax

(915) 598-3946

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By 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 M Massey Other 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

Interoperability endpoints

• Direct secure messaging: lisafallon@syv.allscriptsdirect.net

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.

• Diagnostic Pro Imaging

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1346777190
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1508491176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 GERONIMO DR STE 8",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251836",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 GATEWAY BLVD E STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151115",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Shadow Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799124030",
            "country_code": "US",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "API44027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MASSEY",
            "middle_name": "M",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Falcon Medical Equipment LLC
• Ricardo J Falcon, MD
• Kenneth Ray Falknor, O.D.
• Larry W Falknor, O.D.
• David Majid Fallah, DDS
• Michael A Fallon, MD
• Cory Falvey
• Maria Gloria Famatigan, MD
• Oluwamayowa Franklin Familua, M.D., MRCS., FICS
• Family and Psychiatric Medical Clinic Near Me PLLC

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.