Active NPI
Lisette Ines Purvis
- Driver
- Camden, NJ
National Provider Identifier
1871255323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1248 Magnolia Ave
Camden, NJ 08103-2824 - Phone
- (856) 655-6288
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1248 Magnolia Ave
Camden, NJ 08103-2824
Mailing address
1248 Magnolia Ave
Camden, NJ 08103-2824
Phone (973) 698-5733
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": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1871255323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 MAGNOLIA AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081032824",
"telephone_number": "973-698-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 MAGNOLIA AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081032824",
"telephone_number": "856-655-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "LISETTE",
"middle_name": "INES",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.