Individual provider Active NPI

Lisa Joy Ritter, PA-C

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1841471570
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3778 Issued in AZ
Practice address
4601 E 5TH St
Tucson, AZ 85711-7005
Phone
(520) 433-8000
Fax
(520) 300-7356
NPI assigned
Nov 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3778 AZ Primary

Addresses

Primary practice location

4601 E 5TH St
Tucson, AZ 85711-7005

Mailing address

5860 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3596
Phone (520) 742-7890

Other identifiers 1

IdentifierTypeStateIssuer
283340MedicaidAZ

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3778AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rescue Me Wellness, LLC CurrentSince Feb 12, 2019 Accepting new patients
Sendero Medicine, PLLC PastSince Mar 9, 2019 Accepting new patients

Locations

4601 E 5th St
Tucson, AZ 85711
Phone (520) 327-0990

Organizations & group practices 2

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": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1841471570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 N LA CHOLLA BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413596",
            "telephone_number": "520-742-7890",
            "fax_number": "520-742-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117005",
            "telephone_number": "520-433-8000",
            "fax_number": "520-300-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "LISA",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-22",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.