Lisa Kay Astalos Chism, M.S, R.N., C.S.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704176901 Issued in MI

Practice address

21090 Allen Rd
Woodhaven, MI 48183-1602

Phone

(734) 676-9800

Fax

(734) 676-9801

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

Locations

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.

• Oakland Macomb Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
  • NPI 1760424139
  Medicare reassignment NPD
• Anesthesia Associates of Ann Arbor, PLLC

  • Anesthesiology Physician
  • Westland, MI
  • NPI 1669581997
  NPD (past)
• Barbara Ann Karmanos Cancer Institute

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1386060226
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649484411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23401 LEIGHWOOD DR",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832774",
            "telephone_number": "734-676-9800",
            "fax_number": "734-676-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21090 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831602",
            "telephone_number": "734-676-9800",
            "fax_number": "734-676-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTALOS CHISM",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "M.S, R.N., C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704176901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Dental Center PLLC
• American Current Care of Michigan PC (Concentra Urgent Care)
• American Current Care of Michigan PC (Concentra Urgent Care)
• Apollo Pharmacy Woodhaven, LLC (Apollo Pharmacy Woodhaven)
• Applewood Nursing Center Inc
• Muhammad Atif
• Lauren Yoon Baltierra, OD
• Kaitlin Barazsu, PHARM.D.
• Ryan Barbour
• Virgil John Barbu, DDS

• Nurse Practitioner in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.