Active NPI
Lisa H Fogel, DOM
- Acupuncturist
- Fayetteville, AR
National Provider Identifier
1669420600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 29
- Practice address
- 534 E Huntsville Rd
Fayetteville, AR 72701-6127 - Phone
- (479) 582-4325
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 29 | AR | Primary |
Addresses
Primary practice location
534 E Huntsville Rd
Fayetteville, AR 72701-6127
Mailing address
534 E Huntsville Rd
Fayetteville, AR 72701-6127
Phone (479) 582-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29 | Other | AR | STATE LICENCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29 | AR | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural State Healing Arts, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1669420600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 E HUNTSVILLE RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016127",
"telephone_number": "479-582-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 E HUNTSVILLE RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016127",
"telephone_number": "479-582-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGEL",
"first_name": "LISA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AR",
"license": "29",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "29",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.