Active NPI
Lisa R Roberts
- Specialist
- White Plains, NY
National Provider Identifier
1679079008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 61 Davis Ave Apt M
White Plains, NY 10605-1009 - Phone
- (914) 482-3083
- NPI assigned
- Apr 4, 2018
- Last updated
- Apr 4, 2018
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
61 Davis Ave Apt M
White Plains, NY 10605-1009
Mailing address
61 Davis Ave Apt M
White Plains, NY 10605-1009
Phone (914) 482-3083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1679079008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 DAVIS AVE APT M",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051009",
"telephone_number": "914-482-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 DAVIS AVE APT M",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051009",
"telephone_number": "914-482-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LISA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
- Robert J Doherty DDS PC
- Robert J. Filewich, PH.D., Psychologist, PC (The Center for Behavior Therapy)
- Robert S. Reiffel, MD, PC
- Jaclyn Marie Roberto, M.S.
- Eric Carleton Roberts, M.D.
- Rebekah Roberts, FNP
- Roberta Lee Roberts, RN,BC.BSN
- Rosie Ann Roberts, RN
- Stacey Thanh Roberts, LCSW
- Christina M. Robich-Norton, L AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.