Lisa Marie Elwell, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

87 Issued in MA

Practice address

990 Paradise Rd
Suite #1G
Swampscott, MA 01907-1395

Phone

(781) 581-1500

NPI assigned

Feb 23, 2007

Last updated

Nov 8, 2019By the provider in NPPES

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 identifiers 1

Other names 1

• Lisa Marie Carnevale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Atlantic Hearing Care, Inc

  • Audiologist
  • Swampscott, MA
  • NPI 1962629329
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1770618290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AUBURN ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062318",
            "telephone_number": "617-232-1299",
            "fax_number": "617-232-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PARADISE RD",
            "address_2": "SUITE #1G",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071395",
            "telephone_number": "781-581-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029042A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CARNEVALE",
            "middle_name": "MARIE",
            "credential": "BC-HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Hearing Instrument Specialist in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Hearing Instrument Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.