IndividualActive
Lisa Distin, LPN
NPI 1437374642 · Licensed Practical Nurse · Tully, NY
Lisa Distin, LPN is a Licensed Practical Nurse provider in Tully, NY (NPI 1437374642).
Provider details
- NPI number
- 1437374642
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 238458-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4849 Otisco Rd
Tully, NY 13159-3086
Phone: (315) 696-8592
Street-level locationGet directions
Mailing address
733 Middle Rd
Oswego, NY 13126-5888
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2007-07-09
Frequently asked questions
- What is Lisa Distin's NPI number?
- Lisa Distin's National Provider Identifier (NPI) is 1437374642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Distin's specialty?
- Lisa Distin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Lisa Distin located?
- Lisa Distin's practice location on file with NPPES is 4849 Otisco Rd, Tully, NY 13159-3086.
- What is Lisa Distin's phone number?
- The practice phone number listed in the NPPES registry for Lisa Distin is (315) 696-8592.
- Is Lisa Distin's NPI active?
- Yes — Lisa Distin's NPI (1437374642) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.