Active NPI
Lisa Hollett, RN
- Nursing Care Agency
- Baraboo, WI
National Provider Identifier
1972960656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 139554-30
- Practice address
- S2124 Pine View CT
Baraboo, WI 53913-8700 - Phone
- (608) 432-1102
- NPI assigned
- Jan 26, 2016
- Last updated
- Jan 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 139554-30 | WI | |
| Nursing Care Agency | 251J00000X | 139554-30 | WI | Primary |
Addresses
Primary practice location
S2124 Pine View CT
Baraboo, WI 53913-8700
Mailing address
S2124 Pine View CT
Baraboo, WI 53913-8700
Phone (608) 432-1102
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139554-30 | WI | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1972960656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S2124 PINE VIEW CT",
"city": "BARABOO",
"state": "WI",
"postal_code": "539138700",
"telephone_number": "608-432-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S2124 PINE VIEW CT",
"city": "BARABOO",
"state": "WI",
"postal_code": "539138700",
"telephone_number": "608-432-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLETT",
"first_name": "LISA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WI",
"license": "139554-30",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "WI",
"license": "139554-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baraboo, WI
- Ho Chunk Nation (House of Wellness Behavioral Health)
- Ho Chunk Nation (House of Wellness Pharmacy)
- Ho-Chunk Nation (House of Wellness Center Pharmacy)
- Suzanne M Hockley Murry
- Jamie Hohl, SWIT
- Melinda Holt, RN
- Home Care United, Inc.
- Home Health United, Inc (Home Health United Hospice)
- Hope Connect LLC
- Rebecca L Hoppe, LPC-IT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.