Lisa M. Hunsicker, MD, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

00000 Issued in CO

Legal business name

LISA M. HUNSICKER, MD, P.C.

Doing business as

Revalla Plastic Surgery

Practice address

7750 S Broadway
Ste 150
Littleton, CO 80122-2632

Phone

(720) 283-2500

Fax

(720) 283-1122

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Hunsicker, MD

Title

Owner

Phone

(720) 283-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Revalla Plastic Surgery Doing business as

Locations

Practitioners 1

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

• Colleen Breanna Berry, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Littleton, CO
  • NPI 1982987673
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891846663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 S BROADWAY",
            "address_2": "STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222632",
            "telephone_number": "720-283-2500",
            "fax_number": "720-283-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 S BROADWAY",
            "address_2": "STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222632",
            "telephone_number": "720-283-2500",
            "fax_number": "720-283-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. HUNSICKER, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HUNSICKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-283-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C543338",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "36965",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revalla Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linscott Medical Inc
• Susan W Lipinski, M.D.
• Eric J Lippke, LMT
• Lisa D. Therapy, LTD
• Lisa M Hamilton, PC (Active Eyes, PC)
• Lauren Lisi, LPC
• Listen Counseling Center LLC
• Katherine Lister, LCSW
• Joshua Litster, PA-S
• Catheryne Little

• Medical Specialty Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.