Lisa Anne Chudoba

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

87 Mead St
North Tonawanda, NY 14120-4444

Phone

(716) 204-5925

Fax

(716) 815-6926

NPI assigned

May 6, 2022

Last updated

May 6, 2022By 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 Dux Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1518603141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MEAD ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204444",
            "telephone_number": "716-204-5925",
            "fax_number": "716-815-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MEAD ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204444",
            "telephone_number": "716-204-5925",
            "fax_number": "716-815-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDOBA",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa P Chau, M.D.
• Mencio Antonio Chez, M.D.
• Children's Creative Therapies
• Kaitlyn Jean Chmielowiec, LCSW
• Ashley Megan Chorny, MS,OTR/L
• Michael Joseph Cieri, O.D.
• Pamela Ann Clabo, MS CCC-SP NYS LICENS
• Peggy Clarke
• Dawn Clemens, D.D.S.
• Mary Sandra Cole

• Case Manager/Care Coordinator in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.