Individual provider Active NPI

Joshua Paul Lisonbee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1902331705
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2119 Issued in NV
Practice address
825 N Gibson Rd Ste 430
Henderson, NV 89011-1708
Phone
(702) 565-6641
NPI assigned
Apr 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL6830 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 2119 NV Primary

Addresses

Primary practice location

825 N Gibson Rd Ste 430
Henderson, NV 89011-1708

Mailing address

825 N Gibson Rd Ste 430
Henderson, NV 89011-1708
Phone (702) 565-6641

Other practice location 1

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210423000973 WA Practitioner - Podiatry 1052731890 Reassigns benefits to 1 organization
I20250829002558 NV Practitioner - Podiatry 1052731890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reyzelman Nevada PLLCGroup PAC ID 0840622569, 11 clinicians

Practice addresses (Care Compare)

825 N Gibson Rd
Henderson, NV 89011-1708
Phone (702) 565-6641

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
65.39
Promoting interoperability
75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue146
Removal or shaving of skin growth71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL6830CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients
PNC Podiatry of Washington PLLC Podiatrist CurrentSince Nov 1, 2023 Accepting new patients
Reyzelman Nevada PLLC Podiatrist CurrentSince Aug 18, 2025 Accepting new patients
Reyzelman Nevada PLLC Foot & Ankle Surgery CurrentSince Aug 18, 2025 Accepting new patients
Roger B Reed DPM PC Foot & Ankle Surgery Past Accepting new patients

Locations

825 N Gibson Rd
Ste 430
Henderson, NV 89011
Phone (702) 565-6641

10561 Jeffreys St
Ste 110
Henderson, NV 89052
Phone (702) 293-0151

2649 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 565-6641

9940 W Flamingo Rd
Ste 101
Las Vegas, NV 89147
Phone (702) 605-6220

5435 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 324-1122

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

13030 121st Way NE
Ste 204
Kirkland, WA 98034
Phone (425) 820-8699

4300 Talbot Rd S
Ste 315
Renton, WA 98055
Phone (206) 719-8451

Interoperability endpoints

  • Direct secure messaging: joshua.lisonbee.1@28424.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1902331705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 430",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-565-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 430",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-565-6641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-933-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISONBEE",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL6830",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.