LISA K SPRAGUE (NPI# 1346627536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346627536 |
| Entity Type | Individual |
| Full Name | LISA K SPRAGUE |
| Other Name | LISA NEESE |
| Credential | CNP |
| Practice Address |
868 Mortimer St Barry IL 62312-1249 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2173352343 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012735 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012735 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750406104 | Lisa Helen Sprague | Physical Therapy Assistant | 9051 Tamiami Trl N Ste 101, Naples, FL 34108-2520 | 2007-03-21 |
| 1124170386 | Lisa Ann Sprague | Obstetrics & Gynecology | 426 Sw Stark St, 8th Floor, Portland, OR 97204-2347 | 2007-01-17 |
| 1053389593 | Lisa Sprague | Pediatrics | 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187-4849 | 2006-03-10 |
| Street Address |
868 MORTIMER ST |
| City | BARRY |
| State | IL |
| Zip Code | 62312-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697476 | Korhan B Raif | Internal Medicine | 868 Mortimer St, Barry, IL 62312-1249 | 2006-02-08 |
| 1902007040 | Quincy Medical Group Barry Rural Health | Durable Medical Equipment & Medical Supplies | 868 Mortimer St, Barry, IL 62312-1249 | 2007-05-29 |
| 1013981547 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 868 Mortimer St, Barry, IL 62312-1249 | 2006-02-13 |
| 1427021492 | Ruth A Holman | Nurse Practitioner | 868 Mortimer St, Barry, IL 62312-1249 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
| 1982114708 | Spot Providers | Speech-Language Pathologist | 6 Orchard Dr, Barry, IL 62312 | 2017-10-06 |
| 1548462005 | Barry Comm Unit School Dist 1 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2007-06-05 |
| 1104095199 | Western Comm Unit Sch Dist 12 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2008-02-25 |
| 1679892293 | Christine Ann Nation | Speech-Language Pathologist | 200 Mcdonough St, Barry, IL 62312-1065 | 2010-05-21 |
| 1437759701 | Dianna Michelle Castleberry | Peer Specialist | 1166 Mason St, Barry, IL 62312-1137 | 2020-10-27 |
| 1700278934 | Pharmacy Plus, Inc | Pharmacy | 693 Bainbridge St, Barry, IL 62312-1203 | 2015-02-25 |
| 1124009329 | Stephen T Liesen | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2005-11-07 |
| 1447597950 | Brett R Schafer | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2013-01-04 |
| 1174794028 | Barry Dental Clinic | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2008-03-19 |
| Find all providers in zip 62312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021492 | Ruth A Holman | Nurse Practitioner | 868 Mortimer St, Barry, IL 62312-1249 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.