Lisa Ann Trudeau, COTA/L

Primary specialty

Clinical EthicistTaxonomy code 174V00000X

License

000321 Issued in CT

Practice address

43 Broadleaf LN
Enfield, CT 06082-5501

Phone

(860) 995-7889

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Lisa Ann Picard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1780088245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROADLEAF LN",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825501",
            "telephone_number": "860-995-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROADLEAF LN",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825501",
            "telephone_number": "860-995-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "CT",
            "license": "000321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PICARD",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Allison A Trombley
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• Maureen Truong, RPH
• Matthew Tschudy, DPM
• Devon Tucker
• Ian Sterling Tucker, MD

• Clinical Ethicist in Enfield, CT
• Providers in Enfield, CT by specialty
• Clinical Ethicist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.