Individual provider Active NPI

Lisa Kaysinger, RN

  • Home Health Registered Nurse
  • Sacramento, CA
National Provider Identifier
1699363184
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
564845 Issued in CA
Practice address
1900 Point West Way
Sacramento, CA 95815-4705
Phone
(916) 710-8728
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 564845 CA Primary

Addresses

Primary practice location

1900 Point West Way
Sacramento, CA 95815-4705

Mailing address

10349 Ensemble Way
Elk Grove, CA 95757-5532
Phone (916) 477-3101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sacramento

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
564845CAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1699363184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10349 ENSEMBLE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575532",
            "telephone_number": "916-477-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 POINT WEST WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154705",
            "telephone_number": "916-710-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSINGER",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "564845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sacramento",
            "affiliation": "N",
            "address_1": "10349 Ensemble Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957575532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.