Lisa Ann Peoples, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

01479 Issued in MO

Practice address

14219 Kinderhook Dr
Chesterfield, MO 63017-2921

Phone

(314) 878-2196

NPI assigned

Oct 29, 2011

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

Other names 1

• Miss Lisa Ann Straub Former name

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": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1710263108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14219 KINDERHOOK DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172921",
            "telephone_number": "314-878-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14219 KINDERHOOK DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172921",
            "telephone_number": "314-878-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "01479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "STRAUB",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Yvonne Pegues
• Mary Pellowski, O.T., C.H.T.
• John Henry Peloza, M.D.
• Pencil Kidz
• Marisa Pennington
• Pepose Vision Institute, PC
• Pepose Vision Institute, PC
• Jay S Pepose, M.D.
• Muriel M Perillat, DC
• Paul G Perniciaro, RPH

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.