Individual provider Active NPI

Lisa J Liss, NP

  • Pediatric Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1922338045
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
280505 Issued in MA
Practice address
814 Broad St
Weymouth, MA 02189-2031
Phone
(781) 337-0550
Fax
(781) 337-0553
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 280505 MA
Pediatric Nurse Practitioner 363LP0200X 280505 MA Primary

Addresses

Primary practice location

814 Broad St
Weymouth, MA 02189-2031

Mailing address

63 Fountain St
Framingham, MA 01702-6279
Phone (508) 872-4813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100219000115 MA Practitioner - Nurse Practitioner 5799829438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Framingham Psychiatric Care LLCGroup PAC ID 1557792314, 9 clinicians

Practice addresses (Care Compare)

1253 Worcester Rd
Suite 404
Framingham, MA 01701-5250
Phone (508) 488-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
280505MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Psychiatric Care LLC CurrentSince Mar 2, 2020 Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

Locations

1253 Worcester Rd
Ste 404
Framingham, MA 01701
Phone (508) 488-4075

Organizations & group practices 3

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1922338045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026279",
            "telephone_number": "508-872-4813",
            "fax_number": "508-626-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021892031",
            "telephone_number": "781-337-0550",
            "fax_number": "781-337-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "280505",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "280505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.