Individual provider Active NPI

Lisa L Romary, LMT

  • Contractor
  • Beaverton, OR
National Provider Identifier
1871613133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
LMT 7833 Issued in OR
Practice address
16545 NW Somerset Dr
Beaverton, OR 97006-5277
Phone
(503) 709-4446
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X LMT 7833 OR Primary

Addresses

Primary practice location

16545 NW Somerset Dr
Beaverton, OR 97006-5277

Mailing address

16545 NW Somerset Dr
Beaverton, OR 97006-5277
Phone (503) 709-4446

Other identifiers 1

IdentifierTypeStateIssuer
7833OtherORLMT

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

State licenses

LicenseStateTypeSpecialty
LMT 7833ORMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871613133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16545 NW SOMERSET DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065277",
            "telephone_number": "503-709-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16545 NW SOMERSET DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065277",
            "telephone_number": "503-709-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMARY",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "LMT 7833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "7833",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.