LISA R NAYLOR NP NPI 1225289127

NPI Information

NPI: 1225289127
Provider Name: LISA R NAYLOR, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
255 ENTERPRISE BLVD
STE 101
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-8120
Get Directions

Lisa R Naylor, NP is a gerontology nurse practitioner in Greenville, SC with 22 years of experience. Lisa R Naylor, NP NPI is 1225289127. 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:

255 ENTERPRISE BLVD
STE 101
GREENVILLE, SC
ZIP 29615-300
Phone: (864) 454-8120
Fax: (864) 454-8125

The NPI 1225289127 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 10/9/2008 and was last updated on 3/19/2014.

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	363LG0600X	Nurse Practitioner	Gerontology	3713	SOUTH CAROLINA	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	P01058069	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
2	AA33767951	MEDICARE PIN	SOUTH CAROLINA
3	NP1316	MEDICAID	SOUTH CAROLINA
4	AA33763640	MEDICARE PIN	SOUTH CAROLINA

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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