Individual provider Active NPI

Lisa Beth Ferstenberg, MD

  • Occupational Medicine Physician
  • Pueblo, CO
National Provider Identifier
1831374776
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
29576 Issued in CO
Practice address
302 W Orman Ave
Pueblo, CO 81004-1855
Phone
(719) 542-2620
Fax
(719) 542-2620
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 29576 CO Primary
Occupational Medicine Physician 2083X0100X MD2007-0705 NM

Addresses

Primary practice location

302 W Orman Ave
Pueblo, CO 81004-1855

Mailing address

302 W Orman Ave
Pueblo, CO 81004-1855
Phone (719) 542-2620

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29576COMDOccupational Medicine Physician
MD2007-0705NMMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1831374776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W ORMAN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041855",
            "telephone_number": "719-542-2620",
            "fax_number": "719-542-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W ORMAN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041855",
            "telephone_number": "719-542-2620",
            "fax_number": "719-542-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSTENBERG",
        "first_name": "LISA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "29576",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "MD2007-0705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.