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).
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 |
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 |
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 |
Street Address |
403 N STATE OF FRANKLIN RD |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-6034 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 37604 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37604 |
Please comment or provide details below to improve the information on LISA D BLEVINS.
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.