Individual provider Active NPI

Lisa Lusardi, RN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1821312042
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
559868 Issued in NY
Practice address
37 Wall St Apt 21P
New York, NY 10005-2024
Phone
(954) 551-7295
NPI assigned
Mar 17, 2010
Reactivated
Jun 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 559868 NY
Registered Nurse 163W00000X 559868 NY Primary

Addresses

Primary practice location

37 Wall St Apt 21P
New York, NY 10005-2024

Mailing address

37 Wall St Apt 21P
New York, NY 10005-2024
Phone (954) 551-7295

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
559868NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Fortune Society Inc. PastSince Nov 1, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1821312042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WALL ST APT 21P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052024",
            "telephone_number": "954-551-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WALL ST APT 21P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052024",
            "telephone_number": "954-551-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSARDI",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "deactivation_date": "2024-06-11",
        "reactivation_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "559868",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "559868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.