JOANN K LISTER (NPI# 1770543530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770543530 |
Entity Type | Individual |
Full Name | JOANN K LISTER |
Credential | FNP-C |
Practice Address |
910 E Lockhart Ave Alpine TX 79830-4906 |
Mailing Address |
903 E Avenue A Alpine TX 79830-3805 |
Practice Telephone | 4328371541 |
Mailing Telephone | 4328375260 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2009-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
423501 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 169068701 | 05 | |
TX | TAX ID | 300260411 | 01 |
Street Address |
910 E LOCKHART AVE |
City | ALPINE |
State | TX |
Zip Code | 79830-4906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518179803 | Alpine Family Healthcare Services, LLP | Nurse Practitioner | 910 E Lockhart Ave, Alpine, TX 79830-4906 | 2007-05-07 |
1306870811 | Rebecca G Lewis | Nurse Practitioner | 910 E Lockhart Ave, Alpine, TX 79830-4906 | 2006-07-10 |
1629039011 | Kathryn M Duncan | Nurse Practitioner | 910 E Lockhart Ave, Alpine, TX 79830-4906 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649742255 | Sul Ross State University | General Practice | 79830 Us 90, Alpine, TX 79830 | 2018-12-20 |
1518347921 | Presidio County Health Services Inc. | Clinic/Center | 1605 N. Ft. Davis Hwy., Alpine, TX 79830 | 2015-06-02 |
1942611611 | Roy Amick | Counselor | 103 Texas Oak Dr, Alpine, TX 79830 | 2014-05-15 |
1225463565 | Big Bend Family Practice | Family Medicine | 803 N 5th St, Alpine, TX 79830 | 2013-09-05 |
1124370283 | Big Bend Ambulance, Pllc | Ambulance | 1300 E Us Hwy 90, Alpine, TX 79830 | 2012-10-12 |
1699086447 | Dominyemed Inc, Dba City Drug | Pharmacy | 202 E Ave E, Alpine, TX 79830 | 2010-06-27 |
1104145960 | Balmorhea Isd | Local Education Agency (LEA) | 704 Sul Ross Ave, Alpine, TX 79830 | 2010-05-19 |
1225216575 | Rebecca Lewis | Clinical Nurse Specialist | 803 N. 5th, Alpine, TX 79830 | 2008-02-07 |
1104030097 | Jerry Len Eoff | Dentist | 405 East Avenue E, Alpine, TX 79830 | 2007-05-09 |
1548385586 | West Texas Ambulance Service | Ambulance | 106 E Brown Ave, Alpine, TX 79830 | 2007-03-20 |
Find all providers in zip 79830 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346793007 | Annalee Bingham | Nurse Practitioner | 552 Ridge Ln, Alpine, UT 84004-2630 | 2016-07-29 |
1447230719 | Brenda W Iddins | Nurse Practitioner | 93 Point Clear Lane, Alpine, AL 35014 | 2006-01-20 |
1376151118 | Jennifer Virginia Anne Whitley | Nurse Practitioner | 2600 N State Highway 118, Alpine, TX 79830-2002 | 2020-07-17 |
1023649498 | Barbara Lee Lacuesta | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2020-02-03 |
1922644103 | Nechelle Fabiana Metayer | Nurse Practitioner | 1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878 | 2019-11-21 |
1619526118 | Teresa Michelle Hurley | Nurse Practitioner | 1620 Alpine Boulevard, Alpine, CA 91901-9190 | 2019-09-06 |
1518510726 | Patrick Michael Reed | Nurse Practitioner | 2600 N State Highway 118, Alpine, TX 79830-2002 | 2019-07-17 |
1699257907 | Lindsay Diane Hanna | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-09-04 |
1780177147 | Sheryl Elaine Harpel | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-06-11 |
1821378282 | Ann Elizabeth Ellison | Nurse Practitioner | 2600 N Highway 118, Alpine, TX 79830-2002 | 2011-08-17 |
Find all providers in ALPINE |
Please comment or provide details below to improve the information on JOANN K LISTER.
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.