Lisa E Dishman, RRT, RCP

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

A-4731 Issued in NC

Practice address

700-B Cromwell Drive
Greenville, NC 27858-5832

Phone

(252) 830-2094

Fax

(252) 355-7358

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Lisa E. Suptela Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1639312333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700-B CROMWELL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585832",
            "telephone_number": "252-830-2094",
            "fax_number": "252-355-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700-B CROMWELL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585832",
            "telephone_number": "252-830-2094",
            "fax_number": "252-355-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RRT, RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "4731",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "A-4731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210754",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SUPTELA",
            "middle_name": "E.",
            "prefix": "MISS",
            "credential": "RRT, RCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Respiratory Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Registered Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.