Individual provider Active NPI

Lisa Louise Massman, BSW

  • Case Manager/Care Coordinator
  • La Crosse, WI
National Provider Identifier
1740435577
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
8881-120 Issued in WI
Practice address
1407 St Andrews St
Ste 100
La Crosse, WI 54603-7981
Phone
(608) 525-3478
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 8881-120 WI Primary

Addresses

Primary practice location

1407 St Andrews St
Ste 100
La Crosse, WI 54603-7981

Mailing address

N26111 Leque LN
Ettrick, WI 54627-7981
Phone (608) 525-3478

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

State licenses

LicenseStateTypeSpecialty
8881-120WIMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1740435577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N26111 LEQUE LN",
            "city": "ETTRICK",
            "state": "WI",
            "postal_code": "546277981",
            "telephone_number": "608-525-3478",
            "fax_number": "608-525-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 ST ANDREWS ST",
            "address_2": "STE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546037981",
            "telephone_number": "608-525-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSMAN",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "8881-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.