Active NPIIndividual providerSole proprietor

Carissa Lasure, AA

Community Health Worker in Randolph, Vermont

NPI Number1598522039
Practice location
11 N Main St, Randolph, VT 05060-1126
Fax
802-728-4197
Last updated
March 1, 2024

Carissa Lasure is a Community Health Worker based in Randolph, VT. Carissa Lasure practices in Randolph, VT and has the professional credentials of AA. The NPI Number for Carissa Lasure is 1598522039. The current practice location address for Carissa Lasure is 11 N Main St, Randolph, VT 05060-1126 and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.

Provider Profile Details

NPI Number
1598522039
Provider Name
Carissa Lasure
Credential
AA
Provider Entity Type
Individual
Gender
Female
Address
11 N Main St, Randolph, VT 05060-1126
Phone Number
802-728-4466
Fax Number
802-728-4197
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 1, 2024
Last Update Date
March 1, 2024
Certification Date
February 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 N Main St
Randolph, VT 05060-1126
State
Vermont
Zip
05060-1126
Phone Number
802-728-4466
Fax Number
802-728-4197
Randolph, VT 05060Get directions →

Provider Business Mailing Address Details

Address
22 Coov Lane
North Haverhill, NH 03774
City
North Haverhill
State
NH
Zip
03774
Phone Number
802-356-2479

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carissa Lasure, AA?

The NPI number of Carissa Lasure, AA is 1598522039. It was assigned on March 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Carissa Lasure, AA?

Carissa Lasure, AA is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Carissa Lasure, AA practice?

The practice location is 11 N Main St, Randolph, VT 05060-1126. The office can be reached at 802-728-4466 (phone) or 802-728-4197 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598522039 directly on the NPPES registry website.

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