MS. LISA KAYE PROFFITT (NPI# 1649460544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649460544 |
| Entity Type | Individual |
| Full Name | MS. LISA KAYE PROFFITT |
| Other Name | LISA KAYE GRIMES |
| Credential | APRN |
| Practice Address |
1325 Andrea St Suite 100 Bowling Green KY 42104-5852 |
| Practice Telephone | 2709013454 |
| Practice Fax Number | 2709013459 |
| Mailing Telephone | 2709013454 |
| Mailing Fax Number | 2709013459 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3005252 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 5252P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100020460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420631 | Lisa Proffitt | Pharmacist | 7685 Mall Rd, Florence, KY 41042-1403 | 2015-02-22 |
| 1417909623 | Lisa Sumner Proffitt | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-05-16 |
| Street Address |
1325 ANDREA ST SUITE 100 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488191 | Jack Glasser | Family Medicine | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5852 | 2005-06-21 |
| 1720332042 | Greenview Primecare, LLC | Internal Medicine | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5852 | 2012-11-08 |
| 1326283961 | Meshel Goodman | Nurse Practitioner | 1325 Andrea St, Bowling Green, KY 42104-5852 | 2008-12-11 |
| 1063660405 | Eric T. Wooten, D.o., Psc | Surgery | 1325 Andrea St, Ste. 209, Bowling Green, KY 42104-5852 | 2008-08-27 |
| 1376702837 | Michael L Campbell Md Psc | Surgery | 1325 Andrea St, Suite 209, Bowling Green, KY 42104-5852 | 2008-06-09 |
| 1861670416 | Greenview Specialty Associates LLC | Neurological Surgery | 1325 Andrea St, Suite 201, Bowling Green, KY 42104-5852 | 2008-02-06 |
| 1972792695 | David Glenn Smith Md LLC | Internal Medicine | 1325 Andrea St, Suite 203, Bowling Green, KY 42104-5852 | 2007-10-18 |
| 1326231622 | Muhammad Shoaib Akbar | Internal Medicine | 1325 Andrea St, Ste 207, Bowling Green, KY 42104-5852 | 2007-08-21 |
| 1598968604 | Beth Ann Bryant M.d. Psc | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2007-06-06 |
| 1427267368 | Greenview Primecare, LLC. | Internal Medicine | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5852 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1710542477 | Amy Andrews Whitler | Nurse Practitioner | 720 2nd Ave Ste 301, Bowling Green, KY 42101-1778 | 2019-05-07 |
| 1568960862 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 825 2nd Ave Ste B2, Bowling Green, KY 42101-1790 | 2018-02-01 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1629522404 | Np Primary Care Clinical Services | Nurse Practitioner | 1214 Herrington St, Bowling Green, KY 42104-3235 | 2016-08-09 |
| 1548645203 | Alyse M Snider | Nurse Practitioner | 1180 N Main St Ste 5, Bowling Green, OH 43402-4932 | 2015-07-23 |
| 1679607188 | Terry M. Jepson | Nurse Practitioner | 2710 Nashville Rd, Bowling Green, KY 42101-5375 | 2007-03-15 |
| 1124101332 | Gina K Clark | Nurse Practitioner | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
| 1609841527 | Paula A Johnson | Nurse Practitioner | 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | 2006-02-22 |
| 1619968542 | Daltrey Anne Tyree | Nurse Practitioner | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2005-10-31 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.