MEDICARE: MS. LISA J TUBBS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	427294	NY

General Provider Information

NPI Number	:	1215885025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA J TUBBS RN

Provider Business Mailing Address
First Line	:	409 AVIATION RD
Second Line	:
City	:	QUEENSBURY
State	:	NY
Zip	:	12804-2913
Country	:	US
Telephone Number	:	518-824-4600
Fax Number	:	518-824-4681

Provider Business Practice Location Address
First Line	:	409 AVIATION RD
Second Line	:
City	:	QUEENSBURY
State	:	NY
Zip	:	12804-2913
Country	:	US
Telephone Number	:	518-824-4600
Fax Number	:	518-824-4681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1194026187 — MRS. JANET SUSAN STUTZMAN TSHH
Practice Location Address:

409 AVIATION RD
QUEENSBURY, NY
12804-2913

Practice Phone: 518-824-4600
Practice Fax:

1235895400 — MR. ROBERT JOHN JONES M.ED. , ATC
Practice Location Address:

409 AVIATION RD
QUEENSBURY, NY
12804-2913

Practice Phone: 518-824-4600
Practice Fax: 518-824-4682

1366380800 — JENNIFER KENNEDY
Practice Location Address:

431 AVIATION RD
QUEENSBURY, NY
12804-2914

Practice Phone: 518-824-1600
Practice Fax:

1396684510 — VICTORIA CALOGERO
Practice Location Address:

25 MEADOWBROOK ROAD
QUEENSBURY, NY
12804

Practice Phone: 518-563-8206
Practice Fax:

1518958610 — ATILLA KAYALAR M.D.
Practice Location Address:

6 HEARTS WAY
QUEENSBURY, NY
12804-5925

Practice Phone: 518-792-1233
Practice Fax: 518-792-6854

1457757221 — KRISTINE BLAIS ALIX FNP
Practice Location Address:

161 CAREY RD
QUEENSBURY, NY
12804-7821

Practice Phone: 518-824-8610
Practice Fax: 518-824-2390

Directions to “ MS. LISA J TUBBS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.