Lisa Gros, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

088602 Issued in LA

Practice address

639 Carondelet St
Mandeville, LA 70448-5004

Phone

(985) 626-4428

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1508502451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BEAU CHENE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711779",
            "telephone_number": "504-909-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 CARONDELET ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485004",
            "telephone_number": "985-626-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROS",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "088602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garic Grisbaum, M.D.
• Tara Grissom, MS CCC-SLP
• Katherine B Gristina, MS, LOTR, C/NDT
• Katherine Lea Gristina, CCC-SLP
• Bruce Allen Groom, MD
• Charlotte N Groth, RN
• Kamala Groves
• Maddison E Gruenig, MSW
• Charlottte Denise Guarino, LPC, LMFT
• John Lindhe Guarisco, MD

• School Registered Nurse in Mandeville, LA
• Providers in Mandeville, LA by specialty
• School Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.