Active NPI
Lisa Sontheimer
- Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1669652277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP014477
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1722 - Phone
- (412) 578-5858
- Fax
- (412) 578-1529
- NPI assigned
- Nov 12, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP014477 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Mailing address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103111463 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lsontheimer134596@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150828001720 | VA | Order and Referring Only - Nurse Practitioner | 1355657867 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1669652277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5858",
"fax_number": "412-578-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5858",
"fax_number": "412-578-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONTHEIMER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP014477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103111463",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lsontheimer134596@direct.ahn.org",
"affiliation": "N",
"address_1": "4800 Friendship Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152241722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.