LISA YVONNE CARTER (NPI# 1174829634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174829634 |
| Entity Type | Individual |
| Full Name | LISA YVONNE CARTER |
| Credential | APN |
| Practice Address |
112 Pearson Benton AR 72015-4436 |
| Practice Telephone | 5013266720 |
| Practice Fax Number | 5017780450 |
| Mailing Telephone | 5013266720 |
| Mailing Fax Number | 5017780450 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A003513 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 171M00000X | Case Manager/Care Coordinator | R68406 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 185386795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416433 | Lisa Hannigan Carter | Counselor | 232 Village Ct, Davenport, FL 33896-5222 | 2017-06-06 |
| 1225588544 | Lisa Mary Carter | Technician, Other | 27951 Waltz Rd, New Boston, MI 48164-9321 | 2016-10-11 |
| 1275922577 | Lisa Carter | Contractor | 212 Burns Dr, Warner Robins, GA 31088-5973 | 2015-01-09 |
| 1194024182 | Lisa Charlene Carter | Licensed Practical Nurse | 6956 Onyxbluff Ln, Blacklick, OH 43004-8099 | 2011-03-16 |
| 1922320621 | Lisa A Carter | Nurse Practitioner | 6451 Village Lane, Macungie, PA 18062-0000 | 2010-02-22 |
| 1487889739 | Lisa Marie Carter | Nurse's Aide | 657 Brookledge Ct, Northfield, OH 44067-3086 | 2009-05-15 |
| 1669662177 | Lisa Marie Carter | Physical Therapist | 8954 S Oglesby Ave, Chicago, IL 60617-3047 | 2007-07-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| 1336130558 | Lisa Marie Carter | Nurse Practitioner | 906 Harrisburg Lane, Mount Juliet, TN 37122 | 2005-11-04 |
| 1194722421 | Lisa M Carter | Nurse Practitioner | 641 Lexington Ave, New York, NY 10022-4503 | 2005-07-01 |
| Street Address |
112 PEARSON |
| City | BENTON |
| State | AR |
| Zip Code | 72015-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063564623 | Mary M Paal | Clinical Nurse Specialist | 112 Pearson, Benton, AR 72015-4436 | 2007-01-16 |
| 1598292179 | Alana Kennedy | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2017-05-15 |
| 1144766361 | Billy Hubbard | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2017-01-11 |
| 1598201055 | Melissa Pettus | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2017-01-09 |
| 1417499369 | Stephanie Newton | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2016-11-09 |
| 1386094043 | Chanel Tillman | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2016-06-14 |
| 1235508797 | Tiffany Davault | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015-4436 | 2015-09-15 |
| 1972979946 | Rebecca Glave | Case Manager/Care Coordinator | 112 Pearson, Benton, AR 72015 | 2015-08-13 |
| 1952665002 | Roger D Johnson | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2012-07-03 |
| 1629370127 | Brooke Ann Turner | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598328163 | Rachel Catherine Huynh | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2019-04-18 |
| 1730661570 | Ashley Head | Nurse Practitioner | 110 Pearson, Benton, AR 72015-4436 | 2018-08-29 |
| 1396224002 | Devin Annette Devlin | Nurse Practitioner | 1 Medical Park Dr, Benton, AR 72015-3353 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA YVONNE CARTER.
| 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.