LISA ANN MITCHELL (NPI# 1275000721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275000721 |
| Entity Type | Individual |
| Full Name | LISA ANN MITCHELL |
| Other Name | LISA ANN NUNNALLY |
| Credential | NP-C |
| Practice Address |
19 Redmond Rd Nw Rome GA 30165-1533 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7622353960 |
| Practice Fax Number | 7062338505 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN280273 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049449 | Lisa Mitchell | Nurse Practitioner | 12800 Bothell Everett Hwy Ste 220, Everett, WA 98208-6642 | 2019-05-28 |
| 1912472341 | Lisa Jean Mitchell | Dietitian, Registered | 13013 County Road 171, Danbury, TX 77534-9749 | 2018-10-12 |
| 1215418595 | Lisa Mitchell | Occupational Therapist | 268 Cardigan Ter, West Chester, PA 19380-1142 | 2018-08-24 |
| 1891241899 | Lisa Ann Mitchell | Speech-Language Pathologist | 5321 E Livingston Ave, Columbus, OH 43232-2864 | 2016-08-30 |
| 1912374828 | Lisa Mitchell | Massage Therapist | 800 W Queen Creek Rd Apt 2044, Chandler, AZ 85248-3313 | 2015-08-26 |
| 1235553538 | Lisa Mitchell | Home Health | 5150 Timuquana Rd. # 14, Jacksonville, FL 32210 | 2014-02-07 |
| 1386077543 | Lisa Ann Mitchell | Health Educator | 834 Shoal Creek Rd, Englewood, TN 37329-9526 | 2013-08-12 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1003133125 | Lisa Adair Mitchell | Counselor | 7180 Sw Fir Loop, Suite 1-a, Portland, OR 97223-8023 | 2010-04-29 |
| 1104062777 | Lisa Mitchell | Occupational Therapist | 626 Stinard Ave, Syracuse, NY 13207-1506 | 2008-12-31 |
| Street Address |
19 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356401616 | Hailu Demissachew | Internal Medicine | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2006-12-09 |
| 1508406117 | Deanna Barge Cordle | Nurse Practitioner | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2020-01-11 |
| 1912559980 | Bridgett Danielle Buffington | Nurse Practitioner | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2019-07-10 |
| 1841655586 | Valerie Ann Henslee | Nurse Practitioner | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2015-12-23 |
| 1871965368 | Jessica Nichole Doyle | Nurse Practitioner | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2015-10-23 |
| 1659613966 | Jenni Charity Wright | Nurse Practitioner | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2013-03-25 |
| 1356491104 | Mary Elizabeth Whelan | Dietitian, Registered | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2007-01-12 |
| 1831255520 | Laurie Deneese Buchholtz | Dietitian, Registered | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2006-12-28 |
| 1134281199 | Ritu Kumari Khurana | Internal Medicine | 19 Redmond Rd Nw, Rome, GA 30165-1533 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1043649817 | Satoya Loreen Hartfield | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 107, Rome, GA 30165-5631 | 2013-11-02 |
| 1871773911 | Liza B Meltzer | Nurse Practitioner | 199 Reynolds Bend Dr Se, Rome, GA 30161-2539 | 2007-11-06 |
| 1285747493 | Karen Jenell Craig | Nurse Practitioner | 304 Turner Mccall Blvd, The Breast Center, Rome, GA 30165-0233 | 2006-08-15 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1851312680 | Tammy Michelle Hairel | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2006-07-21 |
| 1962440461 | Laurie Ansley Gerhard | Nurse Practitioner | 28 John Davenport Dr Nw, Rome, GA 30165-2536 | 2006-06-04 |
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1235110263 | Lori Ponder | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-11-08 |
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
| Find all providers in ROME | ||||
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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.