Individual provider Active NPI

Lisa Hackett Fetick

  • School Psychologist
  • Lawton, OK
National Provider Identifier
1851287742
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
1323 SW Oklahoma Ave Side a
Lawton, OK 73501-8021
Phone
(513) 237-3421
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X OH Primary

Addresses

Primary practice location

1323 SW Oklahoma Ave Side a
Lawton, OK 73501-8021

Mailing address

1323 SW Oklahoma Ave Side a
Lawton, OK 73501-8021
Phone (513) 237-3421

Other names 1

  • Lisa Marie Hackett Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1851287742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SW OKLAHOMA AVE SIDE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018021",
            "telephone_number": "513-237-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SW OKLAHOMA AVE SIDE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735018021",
            "telephone_number": "513-237-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETICK",
        "first_name": "LISA",
        "middle_name": "HACKETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HACKETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

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