Active NPI
Lisa L Bujno II
- Family Nurse Practitioner
- Raymond, NH
National Provider Identifier
1902097769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 035848-23
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005672 | Medicaid | NH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902001201 | NH | Practitioner - Nurse Practitioner | 3375519184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035848-23 | NH | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.