Individual provider Active NPI

Lisa L Bujno II

  • Family Nurse Practitioner
  • Raymond, NH
National Provider Identifier
1902097769
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
035848-23 Issued in NH
Practice address
128 Route 27
Raymond, NH 03077-1220
Phone
(603) 895-3351
Fax
(603) 895-0773
NPI assigned
Aug 7, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 035848-23 NH Primary

Addresses

Primary practice location

128 Route 27
Raymond, NH 03077-1220

Mailing address

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

Other identifiers 1

IdentifierTypeStateIssuer
30005672MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001201 NH Practitioner - Nurse Practitioner 3375519184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035848-23NHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lisabujno@achs.medalliesdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1902097769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUJNO",
        "first_name": "LISA",
        "middle_name": "L",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "035848-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005672",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.