Individual provider Active NPI

Lisa Gale Wright, LPN

  • Licensed Vocational Nurse
  • Mount Gilead, OH
National Provider Identifier
1952573198
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
PN089614 Issued in OH
Practice address
7326 State Route 19 Unit 2909
Mount Gilead, OH 43338-9496
Phone
(419) 688-2500
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X PN089614 OH Primary

Addresses

Primary practice location

7326 State Route 19 Unit 2909
Mount Gilead, OH 43338-9496

Mailing address

7326 State Route 19 Unit 2909
Mount Gilead, OH 43338-9496
Phone (419) 688-2500

Other identifiers 1

IdentifierTypeStateIssuer
2157731MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN089614OHMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1952573198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19 UNIT 2909",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389496",
            "telephone_number": "419-688-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19 UNIT 2909",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389496",
            "telephone_number": "419-688-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LISA",
        "middle_name": "GALE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "PN089614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.