Active NPI
Lisa Roberta Meyer
- Respite Care
- Stockbridge, WI
National Provider Identifier
1568096394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 325 S. Military Rd.
Stockbridge, WI 53088 - Phone
- (920) 379-7428
- NPI assigned
- Mar 2, 2020
- Last updated
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | WI | ||
| Adult Day Care Clinic/Center | 261QA0600X | WI | ||
| Home Delivered Meals | 332U00000X | WI | ||
| Private Vehicle | 347C00000X | WI | ||
| Adult Companion | 372600000X | WI | ||
| Day Training/Habilitation Specialist | 373H00000X | WI | ||
| Personal Care Attendant | 3747P1801X | WI | ||
| Home Health Aide | 374U00000X | WI | ||
| Homemaker | 376J00000X | WI | ||
| Respite Care | 385H00000X | WI | Primary | |
| Child Mental Illness Respite Care | 385HR2055X | WI | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | WI | ||
| Child Physical Disabilities Respite Care | 385HR2065X | WI | ||
| In Home Supportive Care Agency | 253Z00000X | WI |
Addresses
Primary practice location
325 S. Military Rd.
Stockbridge, WI 53088
Mailing address
PO Box 393
Stockbridge, WI 53088-0393
Phone (920) 379-7428
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1568096394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "STOCKBRIDGE",
"state": "WI",
"postal_code": "530880393",
"telephone_number": "920-379-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S. MILITARY RD.",
"city": "STOCKBRIDGE",
"state": "WI",
"postal_code": "53088",
"telephone_number": "920-379-7428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "LISA",
"middle_name": "ROBERTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.