Lisa Michelle Peterman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 119525 IV Issued in OH

Practice address

338 Ohio Ave
Girard, OH 44420-3242

Phone

(330) 219-8764

NPI assigned

Jul 13, 2009

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

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1669601696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 OHIO AVE",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203242",
            "telephone_number": "330-219-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 OHIO AVE",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203242",
            "telephone_number": "330-219-8764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 1/2 S Market St",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "OH",
            "postal_code": "444202815",
            "country_code": "US",
            "telephone_number": "330-599-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 119525 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patriot Homecare, Inc.
• Patriot Hospice, Inc
• Patriot Housecall, Inc
• Amity Lynn Patrone, MSN, APRN, PMHNP-BC
• Peter E Sforza Jr OD Inc
• Cheona Petty, LPC, NCC
• Leslie Phillips
• Andrea Michelle Pieton, R.D.,L.D.
• Alexandra Porter
• George Potor, M.D.

• Licensed Practical Nurse in Girard, OH
• Providers in Girard, 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 Jun 30, 2022; 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.