LISA D BLEVINS


Address: 403 N State of Franklin Rd, Johnson City, TN 37604-6034
Phone: 4234317111

LISA D BLEVINS (NPI# 1851452288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851452288
Entity Type Individual
Full Name LISA D BLEVINS
Credential APN
Practice Address 403 N State of Franklin Rd
Johnson City
TN 37604-6034
Practice Telephone 4234317111
Practice Fax Number 4234317092
Mailing Telephone 4234317111
Mailing Fax Number 4234317092
Enumeration Date 2006-12-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
6554 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA BLEVINS

NPI Name Taxonomy Address Enumeration
1265639678 Lisa Ann Blevins Psychologist 501 Mission St, Suite 102, Santa Cruz, CA 95060-3661 2007-06-29
1932261856 Lisa Ann Blevins Speech-Language Pathologist 6900 N Cynthia St, Mcallen, TX 78504-1917 2006-12-15
1073707311 Lisa Patrice Blevins Nurse Practitioner 2203 Wayne Memorial Dr, Goldsboro, NC 27534-1723 2007-08-29
1891703567 Lisa J Blevins Nurse Anesthetist, Certified Registered 1000 E Primrose St, Suite 520, Springfield, MO 65807-5154 2006-08-04

Office Location

Street Address 403 N STATE OF FRANKLIN RD
City JOHNSON CITY
State TN
Zip Code 37604-6034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013998004 Rakeshkumar Bhagwandas Patel Internal Medicine 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2005-11-08
1962016162 Paul Gilley Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2020-09-04
1215575832 Jeffrey Wayne Margeson Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2019-12-13
1942847694 Haley Elizabeth Elliott Registered Nurse 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2019-12-02
1770079675 Victoria W Johnson Physician Assistant 403 N State of Franklin Rd, Johnson City, TN 37604 2018-07-03
1881124139 Preston Fhorest Helmly Student in an Organized Health Care Education/Training Program 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2017-06-19
1902330269 Katherine Mae Astaneh Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2017-04-13
1962857862 Stevenson Wayne Howard Psychiatry & Neurology 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2016-04-28
1902213275 Jasmine Michelle Love Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-07-17
1093120222 Blue Ridge Medical Management Corporation Psychiatry & Neurology 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2014-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114941291 Stephen Lloyd Haile Clinical Nurse Specialist 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144734963 La'wanda Y. Jenkins Clinical Nurse Specialist 814 Wren Rd Ste A, Goodlettsville, TN 37072-2312 2017-12-01
1841663705 Rhonda Lou Thompson Clinical Nurse Specialist 1160 Chickadee Cir, Hermitage, TN 37076-5627 2015-11-01
1568691566 Diana C. Baker Clinical Nurse Specialist 5179 Normandy Ln, Memphis, TN 38117-2850 2009-07-11
1689886376 Debra J. Partee Clinical Nurse Specialist 222 Gocchaux Hall, 461 21st Avenue South, Nashville, TN 37240-0001 2007-05-04
1285743286 Lucy Kniseley Clinical Nurse Specialist Student Health Center University of Tn, 1800 Volunteer Blvd, Knoxville, TN 37996-0001 2006-08-30
1376988220 Wendy K Wilson Clinical Nurse Specialist 2011 Ashwood Ave, Nashville, TN 37212-5015 2013-05-06
1144509837 Anita Waid Clinical Nurse Specialist 880 Madison Ave, Memphis, TN 38103-3409 2011-08-11
1114175163 Linda Marie Mcbride Clinical Nurse Specialist 425 5th Ave N, Cordell Hull Building-dmhdd 3rd Floor, Nashville, TN 37243-3400 2008-09-03
1336320886 Minnie Bernice Troupe Clinical Nurse Specialist 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 2007-11-26
1831306562 Susan D. Swanson-moore Clinical Nurse Specialist 300 20th Ave N, 9th Floor, Nashville, TN 37203-2131 2007-05-16
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Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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