Alisa Kosmitis, M.C.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A#117 Issued in AR

Practice address

1408 W 43Rd Ave
Pine Bluff, AR 71603-7010

Phone

(870) 535-5719

Fax

(870) 536-1963

NPI assigned

Aug 6, 2010

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Lisa Kosmitis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1700190311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W 43RD AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037010",
            "telephone_number": "870-535-5719",
            "fax_number": "870-536-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W 43RD AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037010",
            "telephone_number": "870-535-5719",
            "fax_number": "870-536-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMITIS",
        "first_name": "ALISA",
        "name_prefix": "Mrs.",
        "credential": "M.C.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184762720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KOSMITIS",
            "prefix": "MRS.",
            "credential": "M.C.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine King, LPN
• Leslie King, M.S. SLP
• Shatera Cambire King, BS
• Gwendolyn D Knight-Haney, RN
• Melissa Carol Koonce, APRN
• Kim Kosmitis, D.D.S.
• Kristin K Martn DO PA
• Aaron Kuperman, MD
• L Milton Hughes Mdpa
• Jared Lambert

• Audiologist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.