Lisa McKern

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

357 Foggy LN
Port Orange, FL 32129-7812

Phone

(386) 453-1430

NPI assigned

Jun 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Aegis Homemaking, Companion & Chore Service of Volusia County

  • In Home Supportive Care Agency
  • Port Orange, FL
  • NPI 1801342217
  NPD (past) Authorized official

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466294400000",
    "number": "1831548486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 FOGGY LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297812",
            "telephone_number": "518-331-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 FOGGY LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297812",
            "telephone_number": "386-453-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2016-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Thomas McDonnell, D.D.S.
• Adam Joshua McGinn, COTA
• Elaine McGovern
• Elizabeth McKee
• Emylee Meghan McKenney
• Bruce McKnight, P.T.
• Jeffrey McLaughlin
• Shea Alexis McLean-Reshen
• Karmin McLin
• Moriah McMahon, RBT

• Homemaker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; 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.