Active NPIIndividual provider

Lisa M Ingravera, EDM

Community Health Worker in Roxbury, Massachusetts

NPI Number1629881743
Practice location
56 Dimock St, Roxbury, MA 02119-1210
Fax
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Last updated
January 31, 2025

Lisa M. Ingravera is a Community Health Worker based in Roxbury, MA. Lisa M. Ingravera practices in Roxbury, MA and has the professional credentials of EDM. The NPI Number for Lisa M. Ingravera is 1629881743. The current practice location address for Lisa M. Ingravera is 56 Dimock St, Roxbury, MA 02119-1210 and can be reached out via phone at 857-276-8946.

Provider Profile Details

NPI Number
1629881743
Provider Name
Lisa M. Ingravera
Credential
EDM
Provider Entity Type
Individual
Gender
Female
Address
56 Dimock St, Roxbury, MA 02119-1210
Phone Number
857-276-8946
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2025
Last Update Date
January 31, 2025
Certification Date
January 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Dimock St
Roxbury, MA 02119-1210
Zip
02119-1210
Phone Number
857-276-8946
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
52 Curtis St Apt 4
Quincy, MA 02169-1839
City
Quincy
State
MA
Zip
02169-1839
Phone Number
914-707-2247

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 Lisa M Ingravera, EDM?

The NPI number of Lisa M Ingravera, EDM is 1629881743. It was assigned on January 31, 2025 and is currently active in the NPPES registry.

What is the specialty of Lisa M Ingravera, EDM?

Lisa M Ingravera, EDM is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Lisa M Ingravera, EDM practice?

The practice location is 56 Dimock St, Roxbury, MA 02119-1210. The office can be reached at 857-276-8946 (phone).

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 1629881743 directly on the NPPES registry website.

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