Karen Borges Sisson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

097617 Issued in OH

Practice address

3051 Elyria Ave
Lorain, OH 44055-1449

Phone

(440) 444-5494

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Sisson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• N/a

  • Nursing Care Agency
  • Lorain, OH
  • NPI 1205207511
  NPD (past) Authorized official

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1649636572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 ELYRIA AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440551449",
            "telephone_number": "440-444-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 ELYRIA AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440551449",
            "telephone_number": "440-444-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES SISSON",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "097617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SISSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicoletto Bolzan-Roche, APRN, NP-C
• Jessica Bonnell, QMHS CMS
• Markia Breanne Boone, LSW
• Carrington Booth
• Karla Gay Borchert, LINCENSED SLP
• Leanne K Born
• Samuel R Borsellino, MD
• Sheryl L Bott, LISW
• Dorann Boughner
• Dale Lee Bowen

• Licensed Practical Nurse in Lorain, OH
• Providers in Lorain, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.