Active NPI
Lisa R. Losack, BSN, CNOR, CRNFA
- Registered Nurse First Assistant
- Tyler, TX
National Provider Identifier
1962580241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 613274
- Practice address
- 1100 E Lake St
Suite 230
Tyler, TX 75701-3343 - Phone
- (903) 539-0230
- Fax
- (903) 597-3015
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 613274 | TX | Primary |
Addresses
Primary practice location
1100 E Lake St
Suite 230
Tyler, TX 75701-3343
Mailing address
PO Box 1848
519 Sunnyside Drive
Chandler, TX 75758-1848
Phone (903) 849-6475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8064, 8R5610 | Other | TX | 752930949, 201844225 |
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
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 613274 | TX | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh P Babineau M D P a | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Tyler, TX
- NPI 1518013614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962580241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"address_2": "519 SUNNYSIDE DRIVE",
"city": "CHANDLER",
"state": "TX",
"postal_code": "757581848",
"telephone_number": "903-849-6475",
"fax_number": "903-849-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E LAKE ST",
"address_2": "SUITE 230",
"city": "TYLER",
"state": "TX",
"postal_code": "757013343",
"telephone_number": "903-539-0230",
"fax_number": "903-597-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSACK",
"first_name": "LISA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "BSN, CNOR, CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "613274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "752930949, 201844225",
"identifier": "8N8064, 8R5610",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.