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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200839670 | 05 | |
| IN | BCBS | 000000507763 | 01 |
| 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 |
| Street Address |
4301 N WALNUT ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-1190 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.