Lisa Maurer Must, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60516096 Issued in WA

Practice address

380 Chase Ave
Walla Walla, WA 99362-2924

Phone

(509) 525-8110

Fax

(509) 522-5743

NPI assigned

Dec 30, 2010

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kodiak Island Health Care Foundation

  dba Kodiak Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Kodiak, AK
  • NPI 1568224491
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1578867842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190032",
            "telephone_number": "509-529-8905",
            "fax_number": "509-526-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CHASE AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622924",
            "telephone_number": "509-525-8110",
            "fax_number": "509-522-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUST",
        "first_name": "LISA",
        "middle_name": "MAURER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "5877",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60516096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Muckler, MA, LMHC
• Aldo Munoz
• William B.L. Murdoch, DDS
• Melissa Todhunter Murphy
• William Ray Musick, D.D.S.
• Regina K Myers, LMHP
• Nannette Goyer DDS PLLC (Inland Family Dentistry)
• Gabriela Narciso
• Kevin Nateras
• Kelli Neal, M.A, CCC-SLP

• Physician Assistant in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.