Lisa Bourassa

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

035153-21 Issued in NH

Practice address

34 Twin Mountain Rd
Whitefield, NH 03598-3511

Phone

(603) 837-3088

Fax

(603) 837-9161

NPI assigned

Jun 4, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Miller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1942824065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TWIN MOUNTAIN RD",
            "city": "WHITEFIELD",
            "state": "NH",
            "postal_code": "035983511",
            "telephone_number": "603-837-3088",
            "fax_number": "603-837-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TWIN MOUNTAIN RD",
            "city": "WHITEFIELD",
            "state": "NH",
            "postal_code": "035983511",
            "telephone_number": "603-837-3088",
            "fax_number": "603-837-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURASSA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NH",
            "license": "035153-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MILLER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• School Registered Nurse in Whitefield, NH
• Providers in Whitefield, NH by specialty
• School Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.