Active NPI
Lisa Cantey, PA-C
- Physician Assistant
- New Haven, CT
National Provider Identifier
1750376455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000052
- Practice address
- 136 Sherman Ave
Suite 405
New Haven, CT 06511-5238 - Phone
- (203) 787-0117
- Fax
- (203) 777-3559
- NPI assigned
- Sep 19, 2005
- Last updated
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000052 | CT | Primary |
Addresses
Primary practice location
136 Sherman Ave
Suite 405
New Haven, CT 06511-5238
Mailing address
136 Sherman Ave
Suite 405
New Haven, CT 06511-5238
Phone (203) 787-0117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000052 | CT | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1750376455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE 405",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-787-0117",
"fax_number": "203-777-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE 405",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-787-0117",
"fax_number": "203-777-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTEY",
"first_name": "LISA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.