LISA PRICE (NPI# 1760843379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760843379 |
| Entity Type | Individual |
| Full Name | LISA PRICE |
| Credential | APN |
| Practice Address |
2040 Lincoln Ave Suite 100 Charleston IL 61920 |
| Mailing Address |
1005 Health Center Dr Ste 201 Mattoon IL 61938-4693 |
| Practice Telephone | 2173452030 |
| Practice Fax Number | 2173452045 |
| Mailing Telephone | 2172386055 |
| Mailing Fax Number | 2172582216 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209014021 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Tuscola Blvd, Tuscola, IL 619532065 | 2172354764 | 2172584886 |
| 1100 Tuscola Blvd, Tuscola, IL 619532065 | 2172532020 | |
| 200 Dettro Dr, Mattoon, IL 619389003 | 2172383000 | |
| 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2173452030 | 2173452045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649642901 | Lisa Marie Price | Nurse Practitioner | 1630 Rio Rancho Dr Se Ste 101, Rio Rancho, NM 87124 | 2015-10-27 |
| 1114325768 | Lisa Price | Technician, Other | 213 Spring Creek Ct, Lexington, SC 29072-7948 | 2014-12-15 |
| 1760714752 | Lisa D. Price | Dietitian, Registered | 4357 Little River Rd, Birmingham, AL 35213-2303 | 2010-02-02 |
| 1992944789 | Lisa D Price | Radiologic Technologist | 765 N 150 E, Springville, UT 84663-1126 | 2009-02-18 |
| 1619116837 | Lisa D Price | Speech-Language Pathologist | 61 Court House Square, Whitley City, KY 42653-0061 | 2009-02-11 |
| 1508847336 | Lisa M Price | Obstetrics & Gynecology | 2678 Buford Nehwy, Atlanta, GA 30324-3240 | 2005-11-09 |
| 1093250110 | Lisa Price | Occupational Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2016-12-28 |
| 1386194959 | Lisa Price | Nurse Practitioner | 9006 N Navarro St Ste B, Victoria, TX 77904-1566 | 2016-10-07 |
| 1104279702 | Lisa Beth Price | Occupational Therapist | 1130 N Church St, Suite 201, Greensboro, NC 27401-1038 | 2016-07-19 |
| 1235510520 | Lisa Marie Price | Dentist | 6801 Ridge Ave, Philadelphia, PA 19128-2446 | 2015-06-12 |
| Street Address |
2040 LINCOLN AVE SUITE 100 |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286472 | Sarah Bush Lincoln Health Center | Physician Assistant | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920-3197 | 2017-03-09 |
| 1760923858 | Sarah Bush Lincoln Health Center | Family Medicine | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920-3197 | 2017-03-09 |
| 1487194668 | Sarah Bush Lincoln Health Center | Family Medicine | 2040 Lincoln Ave, Charleston, IL 61920-3197 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| 1265649289 | Combs Chiropractic and Wellness Center S.c. | Chiropractor | 1200 West Polk Ave., Charleston, IL 61920 | 2007-05-17 |
| Find all providers in zip 61920 | ||||
| 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 |
|---|---|---|---|---|
| 1043842230 | Lisa Ann Hahl | Nurse Practitioner | 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 | 2020-02-06 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1770129553 | Elizabeth Ashley Halicki | Nurse Practitioner | 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 | 2019-11-26 |
| 1144784919 | Danielle Alyssa Paquette | Nurse Practitioner | 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 | 2019-01-25 |
| 1649752791 | Ashley Catherine Waybright | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 | 2018-09-05 |
| 1679069090 | Jessica Ueda | Nurse Practitioner | 310 35th St Se Ste 11, Charleston, WV 25304-1352 | 2018-07-09 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1962913038 | Kasey Brown | Nurse Practitioner | 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 | 2017-10-17 |
| 1841700440 | Laura Cunnings | Nurse Practitioner | 202 Georgetown Pl, Charleston, WV 25314-1866 | 2017-10-09 |
| 1386163392 | Primary Care At Home of West Virginia, LLC | Nurse Practitioner | 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 | 2017-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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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.