Individual provider Active NPI

Lise Althoff Jamison, CPNP

  • Pediatric Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1871967034
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129312 Issued in TX
Practice address
5000 Schertz Pkwy Ste 202
Schertz, TX 78154-1403
Phone
(210) 657-0220
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP129312 TX Primary

Addresses

Primary practice location

5000 Schertz Pkwy Ste 202
Schertz, TX 78154-1403

Mailing address

5000 Schertz Parkway Ste 202
Schertz, TX 78154-1013
Phone (210) 657-0220

Other practice location 1

3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871967034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SCHERTZ PARKWAY STE 202",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541013",
            "telephone_number": "210-657-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SCHERTZ PKWY STE 202",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541403",
            "telephone_number": "210-657-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3066 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782201013",
            "country_code": "US",
            "telephone_number": "210-233-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "LISE",
        "middle_name": "ALTHOFF",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.