Individual provider Active NPI

Lisa S Bailey, PA

  • Medical Physician Assistant
  • Providence, RI
National Provider Identifier
1730663287
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA7890 Issued in MA
Practice address
1195 N Main St
Providence, RI 02904-1824
Phone
(401) 861-3782
Fax
(401) 861-3782
NPI assigned
Sep 20, 2018
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA7890 MA Primary
Medical Physician Assistant 363AM0700X PA01080 RI

Addresses

Primary practice location

1195 N Main St
Providence, RI 02904-1824

Mailing address

1195 N Main St
Providence, RI 02904-1824
Phone (401) 861-3782

Other practice location 1

795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991

Other names 1

  • Lisa S Israel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181127002793 RI Practitioner - Physician Assistant 6204170525 Reassigns benefits to 5 organizations
I20210127001965 MA Practitioner - Physician Assistant 6204170525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

1 Virginia Ave
Providence, RI 02905-4443
Phone (508) 979-5557

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Urgent Care Center of Woonsocket CurrentSince Jun 1, 2019 Accepting new patients
National Neurobehavioral Associates PC CurrentSince Dec 21, 2025 Accepting new patients
Lifespan of Massachusetts - Fall River Inc Physician Assistant Past Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

1 Virginia Ave
Providence, RI 02905
Phone (401) 553-1031

25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1730663287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041824",
            "telephone_number": "401-861-3782",
            "fax_number": "401-383-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041824",
            "telephone_number": "401-861-3782",
            "fax_number": "401-861-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211733",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA7890",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ISRAEL",
            "middle_name": "S",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.