MRS. LISA A DECKER


Address: 1136 N Baldwin Ave, Marion, IN 46952-4715
Phone: 7656607440

MRS. LISA A DECKER (NPI# 1346359437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346359437
Entity Type Individual
Full Name MRS. LISA A DECKER
Credential APN
Practice Address 1136 N Baldwin Ave
Marion
IN 46952-4715
Mailing Address 330 N Wabash
Suite G20
Marion
IN 46952-2600
Practice Telephone 7656607440
Practice Fax Number 7656624715
Mailing Telephone 7656607440
Mailing Fax Number 7656629907
Enumeration Date 2006-08-30
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
71002213B IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200832930 05
IN ANTHEM 000000780698 01

Other Providers LISA DECKER

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1275622623 Lisa L Decker Counselor 10 Boulder Crescent St, Suite 100, Colorado Springs, CO 80903-3344 2006-10-12

Office Location

Street Address 1136 N BALDWIN AVE
City MARION
State IN
Zip Code 46952-4715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578960472 Total Renal Care Inc Clinic/Center 1136 N Baldwin Ave, Marion, IN 46952-2536 2014-11-21
1306272067 Southwest Indiana Dialysis LLC Clinic/Center 1136 N Baldwin Ave, Marion, IN 46952-2536 2013-09-25
1043339286 Henry S Gindt General Practice 1136 N Baldwin Ave, Marion, IN 46952-2536 2007-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982245874 John Robert Searfoss Sr. Counselor 314 S Norton Ave., Marion, IN 46952 2019-10-02
1063069755 Andrea Marie Brown Behavior Technician 2315 W 2nd St, Marion, IN 46952 2019-08-19
1548767767 Johnnie Micheal Hiles Counselor 315 South Norton Ave., Marion, IN 46952 2018-04-13
1669979936 Sheila Ann Johnson Counselor 315 S. Norton Ave, Marion, IN 46952 2018-04-12
1679070957 Marissa Lynn Castillo Counselor 315 S Norton Avenue, Marion, IN 46952 2018-04-12
1326545609 Eumalla Lampkins Case Manager/Care Coordinator 315 South Norton Avenue, Marion, IN 46952 2018-04-12
1285011650 Forefront Dermatology, S.c. Dermatology 330 N Wabash Ave Ste 360, Marion, IN 46952 2015-05-05
1649510959 Cancer Services of Grant County Inc. Prosthetic/Orthotic Supplier 305 S. Norton Ave., Marion, IN 46952 2013-02-22
1326350844 Beth Ellen Krouse Speech-Language Pathologist 1800 Wabash Ave, Suite 200, Marion, IN 46952 2010-07-13
1093032138 Thomas Alfred Beck General Practice 919 Euclid Avenue, Marion, IN 46952 2010-04-29
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992343248 Maryanne M Smith Nurse Practitioner 805 W Deyoung St Ste D, Marion, IL 62959-1602 2019-12-17
1225682511 Wesley Adam Davenport Nurse Practitioner 472 Rankin Dr, Marion, NC 28752-6568 2019-07-25
1023521895 Nina Elaine Orr Nurse Practitioner 1700 E 38th St, Marion, IN 46953-4568 2017-11-14
1689109415 Carlos M Blanchard Nurse Practitioner 441 N Wabash Ave, Marion, IN 46952-2612 2017-04-30
1528498458 Kalee Dunkle Nurse Practitioner 1700 E 38th St, Marion, IN 46953-4568 2013-11-13

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1558905554 Amy Hueston Nurse Practitioner 313 S Berkley Rd, Kokomo, IN 46901-5114 2019-11-01
1891338166 Jayme Lantz Nurse Practitioner 20085 Turquoise Ln, Goshen, IN 46528-6294 2019-10-19
1033761770 Workplace Health Services Nurse Practitioner 1632 W. In-28, Frankfort, IN 46041 2019-07-12
1164984597 Care At Home LLC Nurse Practitioner 717 Washington Park Blvd, Michigan City, IN 46360-2056 2019-04-04
1255815379 Amanda Kay Goins Nurse Practitioner 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 2018-09-25
1972084267 Kelly Sue Ann Peasley Nurse Practitioner 2101 Jackson St Ste 8, Anderson, IN 46016-4341 2018-08-24
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Competitor

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City MARION
Zip Code 46952

Improve Information

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Dataset Information

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.

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