LISA BOLLES (NPI# 1013315357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013315357 |
| Entity Type | Individual |
| Full Name | LISA BOLLES |
| Credential | LPN |
| Practice Address |
210 Third St Newport AR 72112-3302 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 8705249496 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L041134 | AR | Nursing Service Providers |
| Street Address |
210 THIRD ST |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462427 | Jessie Harris | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-09-16 |
| 1962038638 | Eddie Jackson | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-03-13 |
| 1609402361 | Brandy Douglas | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2020-03-13 |
| 1205471737 | Tammie Pearrow | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2019-11-07 |
| 1417485970 | Sharri A Woodard | Registered Nurse | 210 Third St, Newport, AR 72112-3302 | 2017-05-30 |
| 1861925265 | Brittany Engler | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2017-04-04 |
| 1346613221 | Constance Hockaday | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2015-11-02 |
| 1295107530 | Jamaal Rainey | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2015-10-27 |
| 1912381534 | Jennifer Shull | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2015-07-14 |
| 1720468481 | Patricia Watkins | Case Manager/Care Coordinator | 210 Third St, Newport, AR 72112-3302 | 2015-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1851745855 | Amber Jenkins | Licensed Practical Nurse | 4814 Sycamore Rd, Newport, MI 48166-9014 | 2016-04-16 |
| 1336518919 | Sonja Marie Baker | Licensed Practical Nurse | 9854 N Dixie Hwy, Newport, MI 48166-9701 | 2015-09-24 |
| 1295103570 | Shardae Clark | Licensed Practical Nurse | 4127 Stone Post Rd, Newport, MI 48166-7830 | 2015-09-03 |
| 1881021863 | Ruth Ann Poteete | Licensed Practical Nurse | 179 Overhill Rd, Newport, TN 37821-6846 | 2013-10-04 |
| 1356783773 | Timohty A Rios | Licensed Practical Nurse | 3073 Hillside Meadow Dr, Apartment 6, Building 1, Newport, NY 13416-3806 | 2013-07-26 |
| 1457604209 | Sherry Lynn Chegwidden | Licensed Practical Nurse | 936 Putnam St, Newport, KY 41071-1440 | 2012-10-17 |
| 1982978896 | Cynthia May Alvarez Rose | Licensed Practical Nurse | 33 E Crescent Ave, Newport, KY 41071-2537 | 2012-02-24 |
| 1861769242 | Sharon Janet Doxtader | Licensed Practical Nurse | 3142 Mechanic St, Newport, NY 13416 | 2011-11-29 |
| 1194012823 | Debbie Lou Zmich | Licensed Practical Nurse | 415 Old Knox Hwy, Newport, TN 37821-2766 | 2011-07-01 |
| Find all providers in NEWPORT | ||||
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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.