Lisa Lyn Shover, PTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

08228 Issued in MA

Practice address

63 Spring St
Newport, VT 05855-5819

Phone

(802) 334-6242

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1679739445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SPRING ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555819",
            "telephone_number": "802-334-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SPRING ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555819",
            "telephone_number": "802-334-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVER",
        "first_name": "LISA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": "08228",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Rexford Searles, MA
• Christine A Seipel, RPH
• Meriem Selmi
• Noreen Joy Shapiro-Berry, LCMHC
• Hannah Shedd
• Allegra L Shumway, MD
• Silver Corporation
• Silver Corporation
• Samantha Brienne Simcoe
• Larry Allen Sisson, MD

• Community Health Worker in Newport, VT
• Providers in Newport, VT by specialty
• Community Health Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.