LISA VIDES – NPI #1386572923
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

LISA VIDES is a specialist located in OCEANSIDE, NY. NPPES recently assigned the NPI number 1386572923 to LISA VIDES on May 13, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

See the complete NPI profile for LISA VIDES below.

NPI Profile for
LISA VIDES

NPI Number
1386572923
Enumeration Date

(about 4 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA VIDES
Primary location
2957 ROXBURY RD
OCEANSIDE, NY 11572-3216
Phone: (516) 993-1696 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.