Active NPI
Lisa Wiseman, MD
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1992946669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G5126
- Practice address
- 12600 Hill Country Blvd
Suite R-103
Austin, TX 78738-6723 - Phone
- (512) 892-7076
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G5126 | TX | Primary |
Addresses
Primary practice location
12600 Hill Country Blvd
Suite R-103
Austin, TX 78738-6723
Mailing address
5625 Eiger Rd
Suite 200
Austin, TX 78735-8982
Phone (512) 892-7076
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5126 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1992946669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 EIGER RD",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358982",
"telephone_number": "512-892-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 HILL COUNTRY BLVD",
"address_2": "SUITE R-103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386723",
"telephone_number": "512-892-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G5126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.