Lisa Renee Whitehead, RRT

Primary specialty

Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X

License

43ZA00088300 Issued in NJ

Practice address

31 Hanna LN
Laurence Harbor, NJ 08879-2929

Phone

(908) 461-4641

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 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 1

Addresses

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1639559776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HANNA LN",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792929",
            "telephone_number": "908-461-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HANNA LN",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792929",
            "telephone_number": "908-461-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NJ",
            "license": "43ZA00088300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altagracia Santana-Pichardo, LCSW
• Dhavalkumar I Shah
• Irina M Shumskaya, MD
• Ahmed Sleem
• Grace Lyzette Umali, DPT

• Registered Respiratory Therapist in Laurence Harbor, NJ
• Providers in Laurence Harbor, NJ by specialty
• Registered Respiratory Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.