LISA SMITH MAHONEY (NPI# 1134211196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134211196 |
| Entity Type | Individual |
| Full Name | LISA SMITH MAHONEY |
| Credential | APRN-BC |
| Practice Address |
1030 Jefferson Ave. Va Medical Center Memphis TN 38104 |
| Mailing Address |
9047 Riverwood Farms Pkwy Cordova TN 38016-1656 |
| Practice Telephone | 9015238990 |
| Mailing Telephone | 9015238990 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6402 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174173918 | Lisa Mahoney | Speech-Language Pathologist | 729 Thimble Shoals Blvd Ste 4c, Newport News, VA 23606-4217 | 2019-09-13 |
| 1396217451 | Lisa Marie Mahoney | Social Worker | 200 W Spring St, Marquette, MI 49855-4661 | 2018-12-28 |
| 1861875635 | Lisa Jo Mahoney | Nurse Practitioner | 202 10th St Se Ste 225, Cedar Rapids, IA 52403-2419 | 2015-06-29 |
| 1720479561 | Lisa Marie Mahoney | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2015-02-16 |
| 1336448026 | Lisa B Mahoney | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2011-03-21 |
| 1871821413 | Lisa Joy Kelley Mahoney | Pharmacist | 800 West Ave S, La Crosse, WI 54601-8806 | 2009-11-19 |
| 1609803329 | Lisa M Mahoney | Radiology | 8599 Haven Ave., Suite 300, Rancho Cucamonga, CA 91730-4849 | 2006-06-27 |
| 1033188669 | Lisa Reeves Mahoney | Dermatology | 565 Route 25a, Suite 4, Miller Place, NY 11764-2663 | 2006-03-16 |
| Street Address |
1030 JEFFERSON AVE. VA MEDICAL CENTER |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245247147 | Antonio Martinez | Pathology | 1030 Jefferson Ave., Memphis, TN 38104-2193 | 2006-08-02 |
| 1851404586 | Donna Swain | Radiology | 1030 Jefferson Ave., Radiology Dept., Memphis, TN 38104 | 2006-08-16 |
| 1982612644 | Melverdine B. Young-smith | Nurse Practitioner | 1030 Jefferson Ave., Memphis, TN 38104-2193 | 2006-08-04 |
| 1174530729 | John West Lewis IIi | Dentist | 1030 Jefferson Ave., Memphis, TN 38104 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.