Active NPI
Lisa Ann Beck, PA-C
- Physician Assistant
- Truckee, CA
National Provider Identifier
1760575682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA798
- Practice address
- 10978 Donner Pass Rd
Truckee, CA 96161-0433 - Phone
- (530) 582-1212
- Fax
- (530) 587-4278
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 28, 2012
- 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 | PA798 | NV | Primary |
Addresses
Primary practice location
10978 Donner Pass Rd
Truckee, CA 96161-0433
Mailing address
10978 Donner Pass Rd
Truckee, CA 96161-0433
Phone (530) 582-1212
Other names 1
- Lisa Ann Johnson
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Services USA | Past | Accepting new patients |
Organizations & group practices 1
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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1760575682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10978 DONNER PASS RD",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610433",
"telephone_number": "530-582-1212",
"fax_number": "530-587-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10978 DONNER PASS RD",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610433",
"telephone_number": "530-582-1212",
"fax_number": "530-587-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "JOHNSON",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.