MRS. LISA M CEJKA (NPI# 1134531593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134531593 |
| Entity Type | Individual |
| Full Name | MRS. LISA M CEJKA |
| Credential | NP |
| Practice Address |
600 N Jackson St Tullahoma TN 37388-3542 |
| Mailing Address |
30 Burton Hills Blvd Ste 175 Nashville TN 37215-6403 |
| Practice Telephone | 9315635469 |
| Practice Fax Number | 9315635470 |
| Mailing Telephone | 6159882014 |
| Mailing Fax Number | 6152081303 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18355 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173488 | Jason A. Martin | Nurse Practitioner | 600 N Jackson St, Tullahoma, TN 37388-3542 | 2019-03-15 |
| 1295263192 | Elizabeth Illenberg | Nurse Practitioner | 600 N Jackson St, Tullahoma, TN 37388-3542 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279265 | Definite Wellness | Nurse Practitioner | 401 Wilson Ave, Tullahoma, TN 37388-3357 | 2019-11-13 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1699168195 | Harton Clinic Company, LLC | Nurse Practitioner | 1805 N Jackson St Bldg A, Suite 100, Tullahoma, TN 37388-2290 | 2015-03-09 |
| 1447654132 | Heather Bohannon-iyama | Nurse Practitioner | 1950 N Jackson St, Tullahoma, TN 37388-2204 | 2014-10-09 |
| 1154302958 | Ola Merle Henson | Nurse Practitioner | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2005-11-09 |
| 1972150332 | Ernest Leon Bellefant Jr. | Nurse Practitioner | 315 Nw Atlantic St, Tullahoma, TN 37388-3566 | 2019-08-21 |
| 1023676335 | Melissa Ann Perry | Nurse Practitioner | 710 Kings Ln, Tullahoma, TN 37388-5395 | 2019-05-31 |
| 1336605864 | Maxmed Care Services | Nurse Practitioner | 1950 N Jackson St, Tullahoma, TN 37388-2204 | 2019-02-20 |
| 1669941290 | Brett Jackson | Nurse Practitioner | 106 Westside Dr, Tullahoma, TN 37388-3280 | 2018-11-13 |
| 1811317068 | Jana M. Stovall | Nurse Practitioner | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2014-04-25 |
| Find all providers in TULLAHOMA | ||||
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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.