NPI Code Detail JSON Logo

1265340541 NPI number — LISA DAMURA PMHNP PLLC

NPI Number: 1265340541
Health Care Provider/Practitioner: LISA DAMURA PMHNP PLLC

Information about “1265340541” NPI (LISA DAMURA PMHNP PLLC) exists in 1265340541 in HTML format HTML  |  1265340541 in plain Text format TXT  |  1265340541 in PDF (Portable Document Format) PDF  |  1265340541 in an XML format XML  formats.

NPI Number : 1265340541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265340541",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LISA DAMURA PMHNP PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "452 STILL HOLLOW CRK",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUDA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78610-2101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-866-5437",
    "MailingAddressFaxNumber": "737-200-8317",
    "FirstLinePracticeLocationAddress": "6012 W WILLIAM CANNON DR STE D102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78749-1979",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-866-5437",
    "PracticeLocationAddressFaxNumber": "737-200-8317",
    "EnumerationDate": "08/28/2026",
    "LastUpdateDate": "10/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAMURA",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": "ALANE",
    "AuthorizedOfficialTitle": "OWNER, PMHNP-BC",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "512-217-3020",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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