Lisa Neeb, LPN

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1122 Tupper Lake St
Lake Odessa, MI 48849-1162

Phone

(616) 755-0938

Fax

(616) 374-1067

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Lisa Elliott Other name

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1669855987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 TUPPER LAKE ST",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491162",
            "telephone_number": "616-755-0938",
            "fax_number": "616-374-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 TUPPER LAKE ST",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491162",
            "telephone_number": "616-755-0938",
            "fax_number": "616-374-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEB",
        "first_name": "LISA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703094902",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ELLIOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurie S Braker MD PLC
• Gerald T Licari, DDS
• Lo Optical, LLC
• Luminate Home Care, LLC
• Moran Diagnostic Services, LLC
• Scott Neeb
• Gabriel Neil, PA-C
• Janice Truc Nguyen, PHARMD
• Pennock Hospital
• Pennock Hospital

• All providers in Lake Odessa, MI
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.