LISA JONES (NPI# 1740275197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740275197 |
| Entity Type | Individual |
| Full Name | LISA JONES |
| Credential | NP |
| Practice Address |
2855 Miller Drive Suite #117 Plymouth IN 46563-8091 |
| Mailing Address |
2855 Miller Dr Ste 117 Plymouth IN 46563-8091 |
| Practice Telephone | 5749367777 |
| Practice Fax Number | 5749411072 |
| Mailing Telephone | 5749367777 |
| Mailing Fax Number | 5749411072 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000729A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200250550 | 05 | |
| IN | MEDICARE PTAN | M400054167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122154 | Lisa Marie Jones | Home Health Aide | 7760 Eckmansville Rd, Winchester, OH 45697-2505 | 2020-10-21 |
| 1225644974 | Lisa Nicole Jones | Nurse Practitioner | 1357 Oconee Connector Bldg 100, Watkinsville, GA 30677-7312 | 2020-09-18 |
| 1326500018 | Lisa A Jones | Contractor | 3800 N El Mirage Dr Apt 4712, Avondale, AZ 85392-4067 | 2019-04-02 |
| 1619450129 | Lisa Marie Jones | Social Worker | 152 Central Avenue, Bridgeway Crisis Intervention Services, Jersey City, NJ 07306-2119 | 2018-09-11 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1447607775 | Lisa Marie Jones | Counselor | 123 Center Park Dr Ste 106, Knoxville, TN 37922-2168 | 2016-05-17 |
| 1710357561 | Lisa Faye Jones | Nurse Practitioner | 770 N County Road 175 E, North Vernon, IN 47265-8561 | 2015-10-05 |
| 1558737130 | Lisa Jones | Speech-Language Pathologist | 630 N Collins St, Colbert, OK 74733-1697 | 2015-08-18 |
| 1033504220 | Lisa Jones | Occupational Therapy Assistant | 143 11th St Nw, Arab, AL 35016-5845 | 2015-04-03 |
| 1457764847 | Lisa Jones | Optometrist | 140 N Northwest Hwy, Park Ridge, IL 60068-3342 | 2014-06-03 |
| Street Address |
2855 MILLER DRIVE SUITE #117 |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-8091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154018 | Byron M Holm | Family Medicine | 2855 Miller Drive, Suite #117, Plymouth, IN 46563-8091 | 2005-09-12 |
| 1447528799 | Rachel M Kratzer | Nurse Practitioner | 2855 Miller Drive, Suite 119, Plymouth, IN 46563 | 2011-12-01 |
| 1437291366 | Nephrology Inc. | Clinic/Center | 2855 Miller Drive, Suite 209, Plymouth, IN 46563 | 2007-02-14 |
| 1083695332 | Jason P Palmateer | Nurse Practitioner | 2855 Miller Drive, Suite #117, Plymouth, IN 46563-8091 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| 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 |
|---|---|---|---|---|
| 1710417852 | Lois Joyce Roberson | Nurse Practitioner | 1032 Us Highway 64 E, Plymouth, NC 27962-9215 | 2017-06-12 |
| 1407221013 | Teresa June Taylor | Nurse Practitioner | 320 Court St., Plymouth, MA 02360 | 2015-12-08 |
| 1730558313 | Kendra Broussard | Nurse Practitioner | 101 Court St Ste 8, Plymouth, MA 02360-8718 | 2015-09-24 |
| 1285043828 | Georgia T Foudy | Nurse Practitioner | 258 Plympton Rd, Plymouth, MA 02360-4644 | 2014-08-07 |
| 1629329867 | Erin Duff | Nurse Practitioner | 1919 Lake Ave Ste 104, Plymouth, IN 46563-7830 | 2012-09-27 |
| 1760731798 | Daniel D. Tanner | Nurse Practitioner | 105 Water St, Plymouth, IN 46563-2148 | 2012-09-06 |
| 1144508904 | Kyle M Farr | Nurse Practitioner | 640 Starkweather St Ste C, Plymouth, MI 48170-1371 | 2011-07-28 |
| 1649372608 | Laura Ann Dansel | Nurse Practitioner | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2006-09-01 |
| 1659336303 | Catherine T. Milne | Nurse Practitioner | 204 Keegan Rd, Plymouth, CT 06782-2608 | 2006-04-18 |
| 1881686996 | Janet Marie Lincoln | Nurse Practitioner | 8 Pilgrim Hill Rd, Minuteclinic/target Primary Practice 8 Pilgrim Hill Rd, Plymouth, MA 02360-6123 | 2005-08-16 |
| Find all providers in PLYMOUTH | ||||
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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.