Organization Active NPI

Lisa a Fite MSN, Pmhnp-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1881443547
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LISA A FITE MSN, PMHNP-BC
Practice address
3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762
Phone
(903) 454-1700
Fax
(903) 454-1701
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Mrs. Kellye M Taylor
Title
Office Manager
Phone
(469) 719-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762

Mailing address

3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762
Phone (903) 454-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607002239 TX Part B Supplier - Clinic/Group Practice 9830631605 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1881443547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 JOE RAMSEY BLVD E STE 104",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017762",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 JOE RAMSEY BLVD E STE 104",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017762",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A FITE MSN, PMHNP-BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-719-4919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.