Lisa Amendola

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

296016 Issued in NY

Practice address

6703 54TH Ave
Maspeth, NY 11378-1616

Phone

(309) 361-6116

NPI assigned

Dec 3, 2014

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

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1528465663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 54TH AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781616",
            "telephone_number": "309-361-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 54TH AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781616",
            "telephone_number": "309-361-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENDOLA",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Alexander, LMT
• Ursula E Alexis, OTA
• All Health DME Inc
• All People'S Diagnostic Medical Care, P.C.
• Renato F Ambeguia, P.T.
• Mitchel Vincent Abella Antigua, RPT
• Michele C Aparo, MS SLP, TSSLD
• Wanda Arden, DDS
• Pradeepa Arivazhagan, MD
• Pilar Elena Arzayus, LMSW

• All providers in Maspeth, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.