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LISA M BLACK PA
NPI 1205098811
Physician Assistant in Burlington, VT

Active since June 26, 2008
111 COLCHESTER AVE, UVM MEDICAL CENTER EMERGENCY DEPARTMENT, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa M Black Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M BLACK PA (NPI 1205098811) is an individual physician assistant in Burlington, Vermont, licensed in Vermont (055.0031258) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1205098811
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA M BLACKCredential: PA
Location Address111 COLCHESTER AVE, UVM MEDICAL CENTER EMERGENCY DEPARTMENTBurlington, VT 05401-1473
Mailing Address617 Riverside AveBurlington, VT 05401-1601 · (802) 864-6309 · Fax (802) 860-4313
Phone(802) 847-0000
Sole ProprietorNo
Enumeration DateJune 26, 2008
Last NPPES UpdateApril 3, 2017
✔ NPI 1205098811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VT · 055.0031258
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 COLCHESTER AVE, Burlington, VT 05401
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Other Names 1

Former Name (1)Lisa Blom

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
ANDREW HUY NGUYEN MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
MS. MERJA CAHOON NNP
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Black's NPI number?

The NPI number for Lisa Black is 1205098811. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Lisa Blom.

Where is Lisa Black located?

Lisa Black practices at 111 Colchester Ave Uvm Medical Center Emergency Department, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Lisa Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Black was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.