Individual provider Active NPI

Lisa Lee Beran, OTR/L

  • Occupational Therapist
  • Ansley, NE
National Provider Identifier
1558754382
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1844 Issued in NE
Practice address
45255 Road 800
Ansley, NE 68814-5120
Phone
(308) 750-9467
Fax
(308) 210-8810
NPI assigned
Mar 18, 2015
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1844 NE Primary

Addresses

Primary practice location

45255 Road 800
Ansley, NE 68814-5120

Mailing address

45515 Drive 812
Sargent, NE 68874-3140
Phone (308) 325-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1558754382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45515 DRIVE 812",
            "city": "SARGENT",
            "state": "NE",
            "postal_code": "688743140",
            "telephone_number": "308-325-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45255 ROAD 800",
            "city": "ANSLEY",
            "state": "NE",
            "postal_code": "688145120",
            "telephone_number": "308-750-9467",
            "fax_number": "308-210-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAN",
        "first_name": "LISA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansley, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.