Individual provider Active NPI

Lisa Obeng, RN

  • Home Health Registered Nurse
  • Worcester, MA
National Provider Identifier
1609243914
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN2274454 Issued in MA
Practice address
997 Millbury St Unit 4
Worcester, MA 01607-2105
Phone
(508) 335-0499
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN2274454 MA Primary

Addresses

Primary practice location

997 Millbury St Unit 4
Worcester, MA 01607-2105

Mailing address

132 Country Club Blvd Apt 615
Worcester, MA 01605-1561
Phone (508) 335-0499

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2274454MAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gia Home Care Services LLC CurrentSince Sep 8, 2024 Accepting new patients
Gia Skilled Services Current Accepting new patients

Locations

997 Millbury St
Unit 4
Worcester, MA 01607
Phone (508) 304-6985

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1609243914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 COUNTRY CLUB BLVD APT 615",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051561",
            "telephone_number": "508-335-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 MILLBURY ST UNIT 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016072105",
            "telephone_number": "508-335-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENG",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2274454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.