LISA R DORAN FNP PMH-NP NPI 1841300597

NPI Information

NPI: 1841300597
Provider Name: LISA R DORAN, FNP, PMH-NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1101 E STONE DR
SUITE 2
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-1110
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Lisa R Doran, FNP, PMH-NP is a family nurse practitioner in Kingsport, TN. Lisa R Doran, FNP, PMH-NP NPI is 1841300597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 E STONE DR
SUITE 2
KINGSPORT, TN
ZIP 37660-384
Phone: (423) 224-1110
Fax: (423) 224-1130

The NPI 1841300597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024169737	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	APN0000008088	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1841300597	MEDICAID	VIRGINIA
2	36437781	MEDICARE PIN	TENNESSEE
3	Q003287	MEDICAID	TENNESSEE
4	3709285	MEDICARE UPIN	TENNESSEE
5	P00939258	OTHER	TENNESSEE	RAILROAD MEDICARE
6	C09112	MEDICARE UPIN	VIRGINIA
7	VV4541A	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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