Lisa Kenner

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

8580 Scarborough Dr
Suite 125
Colorado Springs, CO 80920-7583

Phone

(719) 282-1211

NPI assigned

Sep 3, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Lee MD PC

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1144427899
  NPD (past)

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1780933077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 FALLGOLD CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809275001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-282-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantelle Kennedy
• Taylor Kennedy
• Valerie Gagaza Kennedy, PTA
• Wade Alexander Kennedy, DMD
• Emily Morgan Kenner, PSYD
• Kenneth C. Pollary DDS PLLC
• Kenneth D. Allred, PH.D., P.C.
• Kenneth O Gasper II DDS PC
• Kenneth R Gamblin, M.D., P.C.
• Angela Dee Kenney, QBHA, CPFS

• Surgical Technologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Surgical Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.