Lisa Deptula, PA, MD
NPI 1184052508 · Student in an Organized Health Care Education/Training Program · Southaven, MS
Lisa Deptula, PA, MD is a Student in an Organized Health Care Education/Training Program provider in Southaven, MS (NPI 1184052508).
Provider details
- NPI number
- 1184052508
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA, MD
- Sex
- Female
- Sole proprietor
- No
- License
- PA54017 (CA)
Specialties & taxonomies
Student, Health Care
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 2144 4th St Ste aSan Rafael, CA 94901Phone: (415) 390-2060
- 203 Winston DrMarshall, MI 49068-8526Phone: (269) 789-1670
Registry dates
- Enumerated
- 2013-10-22
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Lisa Deptula's NPI number?
- Lisa Deptula's National Provider Identifier (NPI) is 1184052508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Deptula's specialty?
- Lisa Deptula is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Lisa Deptula located?
- Lisa Deptula's practice location on file with NPPES is 7601 Southcrest Pkwy, Southaven, MS 38671-4739.
- What is Lisa Deptula's phone number?
- The practice phone number listed in the NPPES registry for Lisa Deptula is (662) 772-3607.
- Is Lisa Deptula's NPI active?
- Yes — Lisa Deptula's NPI (1184052508) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.