Lisa Trabold

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

487540-1 Issued in NY

Practice address

3502 James St
Syracuse, NY 13206-2349

Phone

(315) 437-1785

NPI assigned

Sep 12, 2019

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interim Healthcare of Syracuse, Inc

  • Home Health Aide
  • Syracuse, NY
  • NPI 1124051412

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1689224602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062349",
            "telephone_number": "315-437-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Northcliffe Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132063050",
            "country_code": "US",
            "telephone_number": "315-437-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABOLD",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "487540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet R Tousaw, RN
• Maggie M Towles, FNP-C
• Samara Townsend
• Susan M Townsend, LMSW
• Sara Trabelsi
• Anthony Joseph Tracey, MD
• Eric L Trachtenberg, MD
• Jillian Tracy, FNP-C
• Wanda F Tracy, LPN
• Jacqueline Antonia Trahan-Dejesus

• Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.