LISA MARIE ANDERSON (NPI# 1326381237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326381237 |
| Entity Type | Individual |
| Full Name | LISA MARIE ANDERSON |
| Credential | FNP |
| Practice Address |
1540 E Evergreen St Springfield MO 65803-4300 |
| Practice Telephone | 4178232900 |
| Practice Fax Number | 4178862774 |
| Mailing Telephone | 4178232900 |
| Mailing Fax Number | 4178862774 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2013007655 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013007655 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889706 | Lisa Marie Anderson | Occupational Therapy Assistant | 5269 Green Valley Dr, Clarence, NY 14031-1231 | 2020-01-03 |
| 1063991263 | Lisa Anderson | Licensed Vocational Nurse | 213 Pryor St, Rusk, TX 75785-9206 | 2018-08-08 |
| 1780182840 | Lisa Anderson | Licensed Practical Nurse | 4383 Devonshire Rd, Detroit, MI 48224-3637 | 2018-01-24 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1780053371 | Lisa Anderson | Speech-Language Pathologist | 41750 Carthage Rd, Ravenna, NE 68869-4051 | 2015-09-24 |
| 1982959508 | Lisa Marie Anderson | Specialist | 4 Cherry Pl, Staten Island, NY 10314-6912 | 2012-07-19 |
| 1396008413 | Lisa L Anderson | Counselor | 500 S Main St Ste B, Mount Pleasant, MI 48858-3100 | 2012-06-22 |
| 1285928309 | Lisa Waters Anderson | Speech-Language Pathologist | 1525 Beaver Ave, Des Moines, IA 50310-4426 | 2011-06-06 |
| Street Address |
1540 E EVERGREEN ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366724 | James L Godard | Internal Medicine | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-15 |
| 1801425319 | Jamie M Sims | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2020-04-06 |
| 1841791027 | Kevin Michael Stokes | Physician Assistant | 1540 E Evergreen St, Springfield, MO 65803 | 2018-02-23 |
| 1225542863 | Charity Hall | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-11-17 |
| 1184135113 | Amberlyn Casie Logan | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-10-17 |
| 1083130363 | Alyson Rose | Physical Therapy Assistant | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-08-17 |
| 1548705189 | Ashden Vogler-blake | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-01-05 |
| 1932518768 | Chance Martin | Physical Therapist | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-08-06 |
| 1427465194 | Carol D Curless | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-07-15 |
| 1033483474 | William Scott Gray | Physician Assistant | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on LISA MARIE ANDERSON.
| 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.