Active NPI
Lisa Ann Sattler, OTR/L
- Community Health Worker
- Baltimore, MD
National Provider Identifier
1609038090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 05281
- Practice address
- 16 Fusting Ave
Baltimore, MD 21228-4413 - Phone
- (410) 747-1800
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 05281 | MD | Primary |
Addresses
Primary practice location
16 Fusting Ave
Baltimore, MD 21228-4413
Mailing address
13609 California St
Suite 200
Omaha, NE 68154-5260
Phone (180) 045-6565
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05281 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1609038090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13609 CALIFORNIA ST",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545260",
"telephone_number": "180-045-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FUSTING AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284413",
"telephone_number": "410-747-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTLER",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MD",
"license": "05281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.