IndividualActive
Lisa Licciardi
NPI 1043506132 · Nurse's Aide · Penrose, NC
Lisa Licciardi is a Nurse's Aide provider in Penrose, NC (NPI 1043506132).
Provider details
- NPI number
- 1043506132
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
82 Hillside Rd
Penrose, NC 28766-8783
Phone: (828) 877-4076
Street-level locationGet directions
Mailing address
508 Elm Bend Rd
Brevard, NC 28712-9577
Registry dates
- Enumerated
- 2011-06-27
- Last updated
- 2011-06-27
Frequently asked questions
- What is Lisa Licciardi's NPI number?
- Lisa Licciardi's National Provider Identifier (NPI) is 1043506132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Licciardi's specialty?
- Lisa Licciardi is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).
- Where is Lisa Licciardi located?
- Lisa Licciardi's practice location on file with NPPES is 82 Hillside Rd, Penrose, NC 28766-8783.
- What is Lisa Licciardi's phone number?
- The practice phone number listed in the NPPES registry for Lisa Licciardi is (828) 877-4076.
- Is Lisa Licciardi's NPI active?
- Yes — Lisa Licciardi's NPI (1043506132) is active in the NPPES registry as of the last update on 2011-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.