Lisa Reisman, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN081008 Issued in GA

Practice address

1725 Mount Vernon Rd
Suite 4
Dunwoody, GA 30338-4240

Phone

(770) 551-9533

NPI assigned

Jan 5, 2015

Last updated

Jan 5, 2015By the provider in NPPES

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

• Complete Care at Home, LLC

  dba Complete Care At Home

  • In Home Supportive Care Agency
  • Dunwoody, GA
  • NPI 1124487376
  Authorized official Same address or phone
• Ozrim, LLC

  dba CareMinders Home Care

  • Home Health Agency
  • Dunwoody, GA
  • NPI 1043409097
  Authorized official Same address or phone
• Ozrim, LLC

  dba Phoenix Living

  • Adult Care Home Facility
  • Marietta, GA
  • NPI 1164829453
  Authorized official Same address or phone

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1942698550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 WOLF BROOK DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501186",
            "telephone_number": "404-408-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MOUNT VERNON RD",
            "address_2": "SUITE 4",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384240",
            "telephone_number": "770-551-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "LISA",
        "credential": "C.P.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "APRN081008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Reed, MFT
• Caitlin Reed, PT, DPT
• Samantha Reis
• Brian Reising, D.D.S., M.S.
• Arthur Gerald Reisman, MD
• Resilient Roots Therapy Center, LLC
• Restoplus LLC
• Restorative Therapy & Wellness, LLC
• Revive Orthopedics Spine & Sports Medicine, Inc (Revive Orthopedics Spine & Sports Medicine)
• Parys Jade Rhoden

• Pediatric Nurse Practitioner in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.