Lisa Tillman Edison

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Practice address

2331 Canal St
New Orleans, LA 70119-6503

Phone

(304) 307-3737

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1902394745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3017",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700593017",
            "telephone_number": "504-451-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196503",
            "telephone_number": "304-307-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN EDISON",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya R Tilford, M.S.P.F.S
• Ashley D Tiller
• Bertrand Tillery Jr., M.D.
• Christine Tilley, M.S. ED
• Kalyssa Jayde Tilley
• Lacie Tillman, PHD
• Nigel Tillman
• Andre Dominick Tilton, MD
• Carolyn Tilton
• Yolande Marie Tilton, LMSW

• Rehabilitation Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.