Angela Alice Lisburg, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000605 Issued in SD

Practice address

801 E Sioux Ave
Pierre, SD 57501-3323

Phone

(605) 224-3229

Fax

(605) 224-3230

NPI assigned

Oct 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Alice Vandendriessche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1760717581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013323",
            "telephone_number": "605-224-3229",
            "fax_number": "605-224-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013323",
            "telephone_number": "605-224-3229",
            "fax_number": "605-224-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBURG",
        "first_name": "ANGELA",
        "middle_name": "ALICE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "VANDENDRIESSCHE",
            "middle_name": "ALICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Charles Lee, PHARM. D.
• Derek Leiferman, DC
• Lincare Inc.
• Brent J. Lindbloom, DO
• Bernard J Linn, MD
• Jamie J Liudahl, DO
• Jeffrey J Liudahl, MD
• David R. Lonbaken, DPM
• Mary Makenna Lopour, CNP
• Katey Amanda Lukkes, DPT

• Family Nurse Practitioner in Pierre, SD
• Providers in Pierre, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.