MRS. LISA MICHELLE CALLAHAN RN MSN CPNP-PC NPI 1649261132

NPI Information

NPI: 1649261132
Provider Name: MRS. LISA MICHELLE CALLAHAN, RN, MSN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 472-0021
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MRS. Lisa Michelle Callahan, RN, MSN, CPNP-PC is a pediatrics nurse practitioner in Grants Pass, OR. MRS. Lisa Michelle Callahan, RN, MSN, CPNP-PC NPI is 1649261132. 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:

1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526-035
Phone: (541) 472-0021
Fax: (541) 476-4003

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/12/2016.

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	363LP0200X	Nurse Practitioner	Pediatrics	94000382	OREGON	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
1	106544	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	080965	MEDICAID	OREGON
3	P01681	MEDICARE UPIN	OREGON

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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