MR. CROWELL ANTHONY LISENBY SR. (NPI# 1255539904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255539904 |
| Entity Type | Individual |
| Full Name | MR. CROWELL ANTHONY LISENBY SR. |
| Other Name | MR. TONY LISENBY |
| Practice Address |
101 Coliseum Blvd Montgomery AL 36109-2707 |
| Mailing Address |
3464 S Water Mill Rd Montgomery AL 36116-1935 |
| Practice Telephone | 3342797830 |
| Practice Fax Number | 3342701647 |
| Mailing Telephone | 3342777617 |
| Mailing Fax Number | 3342729238 |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-044909 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 COLISEUM BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383450 | Ashok Shah | Psychiatry & Neurology | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2007-03-13 |
| 1689116162 | Rebecca Cornwell | Behavioral Analyst | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2016-11-15 |
| 1700122553 | Ava Michelle Dirickson | Registered Nurse | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2012-12-26 |
| 1487829917 | Montgomery Area Mental Health Authority Inc | Clinic/Center | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2008-04-25 |
| 1801920582 | Sukumaran C Nair | Psychiatry & Neurology | 101 Coliseum Blvd, Montgomery, AL 36109-2707 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821234 | Tina Jacques | Nurse Practitioner | 132 Carrington Rd, Montgomery, MA 01050-9789 | 2019-06-24 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1063034320 | Carine Laure Djuidje | Nurse Practitioner | 4385 Narrow Lane Rd, Montgomery, AL 36116-2978 | 2020-05-09 |
| 1780218818 | Nicole Dean | Nurse Practitioner | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-02-27 |
| 1760015374 | Julie Anne Bond | Nurse Practitioner | 7125 University Ct, Montgomery, AL 36117-8016 | 2020-02-21 |
| 1932740032 | Sharon Ford | Nurse Practitioner | 215 Perry Hill Road, Montgomery, AL 36109 | 2019-10-01 |
| 1275186843 | John Caleb Walker | Nurse Practitioner | 300 Twining St, Montgomery, AL 36112-6027 | 2019-07-22 |
| 1508427170 | Summyji Groom | Nurse Practitioner | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2019-06-25 |
| 1952878340 | Rachel Liner | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117 | 2018-10-24 |
| 1073003018 | Cicely Baugh Hooten | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-05-15 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on MR. CROWELL ANTHONY LISENBY SR..
| 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.