Lisa Anne Porcello, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

02201545 Issued in NY

Practice address

2208 Bellevue Ave
Syracuse, NY 13219-3210

Phone

(315) 472-1602

NPI assigned

Mar 30, 2007

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

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1528188653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HERKIMER ST APT 14",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041744",
            "telephone_number": "315-468-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 BELLEVUE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193210",
            "telephone_number": "315-472-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCELLO",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "02201545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Popcun, CTRS
• Melissa Popcun
• Melissa Anne Popenfuss, LPN
• Nicolae Andrei Popescu
• Anna Popiak, RN
• Mary Poresky, RDH
• Kathleen Ann Porillo, M.S.ED.
• Meaghan Porter, DPT
• Alexander Jose Portillo, LCSW
• Lizbeth Portillo

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.