LISA TEACHNOR (NPI# 1346597515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346597515 |
| Entity Type | Individual |
| Full Name | LISA TEACHNOR |
| Credential | CRNP |
| Practice Address |
302 E James Lee Blvd Crestview FL 32539-2827 |
| Mailing Address |
206 S Park Loop Andalusia AL 36421-4212 |
| Practice Telephone | 8506821002 |
| Practice Fax Number | 8506821002 |
| Mailing Telephone | 3345040079 |
| Mailing Fax Number | 3345040079 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9174159 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-093735 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 E JAMES LEE BLVD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740227503 | Christina Cerise Johnson | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2006-06-01 |
| 1164056404 | Brittney Smith | Pain Medicine | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2020-02-25 |
| 1013377720 | Michelle Therese Koski | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2016-02-24 |
| 1760729750 | Nikki Windham Grace | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2013-01-10 |
| 1043313794 | Holiday Cvs LLC | Pharmacy | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168284 | Mary-ellen Dorathy Katrina Tinnerello | Nurse Practitioner | 4664 Browning Ct, Crestview, FL 32539-5730 | 2019-01-18 |
| 1215426846 | Emily Winona Bundrick | Nurse Practitioner | 5681 Ryan Rd, Crestview, FL 32539-8823 | 2018-05-09 |
| 1942237458 | Linda Cheryl Foley | Nurse Practitioner | 109 Old South Dr, Crestview, FL 32536-5565 | 2006-06-28 |
| 1659913606 | Shirley Blanco | Nurse Practitioner | 800 Hospital Dr, Crestview, FL 32539-7385 | 2019-10-10 |
| 1326607276 | Brittany Marie Arbacheski Fais | Nurse Practitioner | 369 N Main St, Crestview, FL 32536-3541 | 2019-06-12 |
| 1548726136 | Tanya Tamika Jenkins | Nurse Practitioner | 210 S Main St, Crestview, FL 32536-3737 | 2019-02-19 |
| 1689144198 | Kayla Scott | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2018-11-27 |
| 1013434570 | Brittany Nicole Grimes | Nurse Practitioner | 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 | 2017-08-25 |
| 1821510835 | Melissa Dianne Davis | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2017-07-11 |
| 1013377720 | Michelle Therese Koski | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2016-02-24 |
| Find all providers in CRESTVIEW | ||||
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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.