LISA ANNE BROCK


Address: 4301 N Walnut St, Muncie, IN 47303-1190
Phone: 7652820053

LISA ANNE BROCK (NPI# 1255422366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255422366
Entity Type Individual
Full Name LISA ANNE BROCK
Other Name LISA ANNE HARBER
Credential APRN-BC
Practice Address 4301 N Walnut St
Muncie
IN 47303-1190
Mailing Address 12201 Bluegrass Pkwy
Louisville
KY 40299-2361
Practice Telephone 7652820053
Practice Fax Number 7652823290
Mailing Telephone 5025687366
Mailing Fax Number 5025687114
Enumeration Date 2006-09-27
Last Update Date 2017-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71001294A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
71001294A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200839670 05
IN BCBS 000000507763 01

Other Providers LISA BROCK

NPI Name Taxonomy Address Enumeration
1497976435 Lisa Marie Brock Physical Therapist 2 Redwood Court, Rensselaer, NY 12144 2007-05-01
1629478946 Lisa G Brock Counselor 10301 Mayo Dr, Barling, AR 72923-1660 2014-08-25
1871742064 Lisa Rene Brock Registered Nurse 1400 Johnston Willis Dr, Ste A, Richmond, VA 23235-4765 2008-09-12

Office Location

Street Address 4301 N WALNUT ST
City MUNCIE
State IN
Zip Code 47303-1190

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083186571 Archebal Alfeche Balaoy Physical Therapist 4301 N Walnut St, Muncie, IN 47303-1190 2018-12-20
1407283781 Shc Medical Partners of Indiana, LLC Physician Assistant 4301 N Walnut St, Muncie, IN 47303-1190 2013-10-02
1801137948 Jackson County Schneck Memorial Hospital Skilled Nursing Facility 4301 N Walnut St, Muncie, IN 47303-1190 2013-03-14
1508100520 Matthew Sadgebury Physical Therapy Assistant 4301 N Walnut St, Muncie, IN 47303-1190 2012-11-15
1831353119 Padmalatha Kambham I Physical Therapist 4301 N Walnut St, Muncie, IN 47303-1190 2008-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144790726 Elisabeth Marriah Bernal Nurse Practitioner 2525 W University Ave Suite 300, Muncie, IN 47303 2018-11-27
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1730607359 Ronald Settles Home Health 1812 Carver Dr, Muncie, IN 47303 2017-09-04
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1780117176 Adil Khan Internal Medicine Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 2017-04-04
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1437557345 Great Lakes Family Dental Group-muncie, P.C. Dentist 1003 W. Mcgalliard Road, Muncie, IN 47303 2014-12-09
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
Find all providers in zip 47303

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649796178 Angela Lee Miller Nurse Practitioner 2525 W University Ave Ste 300, Muncie, IN 47303-3432 2017-08-16
1972866085 Amy J Jackson Nurse Practitioner 2701 W North St Ste B, Muncie, IN 47303-3415 2012-06-22
1487833109 Jennifer S Davis Nurse Practitioner Ball State University Student Health Center, 1500 Neely Ave., Muncie, IN 47306-0001 2007-10-30
1093738429 Curtis Oliver Bow Jr. Nurse Practitioner 7109 N Williamson Rd, Muncie, IN 47303-9510 2006-07-26
1700854932 Tammy Lightner Nurse Practitioner 130 N Tillotson Ave, Muncie, IN 47304-3987 2006-03-14
1346859980 Katie Lee Nurse Practitioner 3631 N Morrison Rd, Muncie, IN 47304-5547 2020-07-29
1043828635 Jennifer Lee Taylor Nurse Practitioner 2525 W University Ave Ste 403, Muncie, IN 47303-3409 2020-07-20
1437717279 Juliet M Nottingham Nurse Practitioner 3631 N Morrison Rd, Muncie, IN 47304-5547 2019-06-05
1538627617 Lauren Brooke Taylor Nurse Practitioner 2401 W University Ave, Muncie, IN 47303-3428 2019-03-07
1649737107 Kristena M Barry Nurse Practitioner 100 N Tillotson Ave, Muncie, IN 47304-3987 2019-02-20
Find all providers in MUNCIE

Competitor

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City MUNCIE
Zip Code 47303

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Dataset Information

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.

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