NPIMap

Organization Active NPI

Lisa S. Ball, Family Health NP, PLLC

  • Dermatology Physician
  • Williamsville, NY
National Provider Identifier
1578073276
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LISA S. BALL, FAMILY HEALTH NP, PLLC
Practice address
1140 Youngs Rd
Williamsville, NY 14221-8054
Phone
(716) 688-0020
Fax
(716) 688-2328
NPI assigned
Oct 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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

Authorized official

Name
Dr. Lisa Sherry Ball, FNPNPI 1497802672
Title
Owner
Phone
(716) 982-4165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1140 Youngs Rd
Williamsville, NY 14221-8054

Mailing address

146 Sagewood Ter
Williamsville, NY 14221-4718
Phone (716) 982-4165

Other identifiers 4

IdentifierTypeStateIssuer
1104366368OtherNYNP EMPLOYEE - J TUROWSKI
1497802672OtherNYNPI 1 OF PRACTICE OWNER
1477606796OtherNYCONSULTING PHYSICIAN - DR. NEIMAN
1972624252OtherNYNP EMPLOYEE OF PRACTICE - M MELE-DELGADO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102001382 NY Part B Supplier - Clinic/Group Practice 6608132949 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507334400000",
    "number": "1578073276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SAGEWOOD TER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214718",
            "telephone_number": "716-982-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218054",
            "telephone_number": "716-688-0020",
            "fax_number": "716-688-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA S. BALL, FAMILY HEALTH NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-982-4165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP EMPLOYEE - J TUROWSKI",
            "identifier": "1104366368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1 OF PRACTICE OWNER",
            "identifier": "1497802672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSULTING PHYSICIAN - DR. NEIMAN",
            "identifier": "1477606796",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP EMPLOYEE OF PRACTICE - M MELE-DELGADO",
            "identifier": "1972624252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.