LISA L. GILMORE (NPI# 1629484647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629484647 |
| Entity Type | Individual |
| Full Name | LISA L. GILMORE |
| Credential | DNP, AACNS, FNP |
| Practice Address |
1965 S Fremont Ave Suite 300 Springfield MO 65804-2201 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178204000 |
| Practice Fax Number | 4178204948 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018035616 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2014024621 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
2014022682 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Porter Ave, Aurora, MO 656052365 | 4176782122 | |
| 94 Main St, Cassville, MO 656251610 | 4178476000 | |
| 940 W Mount Vernon St, Nixa, MO 657149618 | 4177245280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943189 | Lisa Gilmore | Dietitian, Registered | 5214 Sw View Point Ter, Portland, OR 97239-3940 | 2020-08-21 |
| 1982113783 | Lisa Gilmore | Social Worker | 2428 Holly Pine Cir, Orlando, FL 32820-2278 | 2017-09-25 |
| 1366821050 | Lisa G Gilmore | Occupational Therapist | 211 W Sycamore St, Rome, NY 13440-2745 | 2015-05-27 |
| 1487053294 | Lisa Gilmore | Physical Therapy Assistant | 1705 Windy Pines Dr, Unit 1, Naples, FL 34112-2785 | 2014-08-18 |
| 1205272259 | Lisa Ann Gilmore | Nurse Practitioner | 2820 Ohio St, Augusta, KS 67010 | 2013-05-17 |
| 1083843320 | Lisa M Gilmore | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-07-08 |
| 1285754259 | Lisa Gilmore | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2007-03-30 |
| Street Address |
1965 S FREMONT AVE SUITE 300 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834074 | Tyrun Keith Richardson | Urology | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2005-07-14 |
| 1366934069 | Kelsi Brooke Yates | Registered Nurse | 1965 S Fremont Ave, Springfield, MO 65804 | 2018-05-30 |
| 1629515440 | Ashley Jenkins | Physician Assistant | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2017-01-31 |
| 1538602719 | Brianna Sikes | Registered Nurse | 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201 | 2016-11-21 |
| 1497105779 | Krista Norrick | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-16 |
| 1952750846 | Lori Pumphrey | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-10 |
| 1306205414 | Jason Hall | Physician Assistant | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-02-17 |
| 1811382500 | Megan A. Martin | Nurse Practitioner | 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | 2015-03-31 |
| 1588055578 | Inna L. Bates | Nurse Practitioner | 1965 S Fremont Ave, Suite 350, Springfield, MO 65804-2201 | 2015-02-11 |
| 1770990228 | Karina Marie Guffey | Nurse Practitioner | 1965 S Fremont Ave, Springfield, MO 65804-2201 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 | 65804 |
Please comment or provide details below to improve the information on LISA L. GILMORE.
| 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.