Lisa M Byrd, FNP

Key facts

NPI

1013140847

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

110296 (MO)

Practice address

1605 E Broadway Ste 210
Columbia, MO 65201-8023

Phone

(573) 815-4130

Fax

(573) 815-4135

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boone Physician Services, LLC Multi-Specialty Clinic/Center · Columbia, MO · NPI 1760893259
  Medicare reassignment Care Compare group NPD MO
• Chas Physician Services LLC Cardiovascular Disease Physician · Columbia, MO · NPI 1629301163
  Medicare reassignment NPD MO
• Boone Physician Services LLC Rural Health Clinic/Center · Mexico, MO · NPI 1376380659
  Care Compare group
• Boone Physician Services LLC Rural Health Clinic/Center · Moberly, MO · NPI 1538906813
  Care Compare group
• Boone Physician Services LLC Rural Health Clinic/Center · Boonville, MO · NPI 1558108837
  Care Compare group
• Boone Physician Services, LLC Rural Health Clinic/Center · Centralia, MO · NPI 1619648532
  Care Compare group
• Chas Physician Services, LLC Pulmonary Disease Physician · Columbia, MO · NPI 1326312976
  NPD

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CH Allied Services, Inc Cardiac Rehabilitation Clinic/Center · Columbia, MO · NPI 1548734734
  Care Compare affiliation Hospital
• CH Allied Services, Inc. General Acute Care Hospital · Columbia, MO · NPI 1902817844
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Physician Services LLC (243 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Hospital Center Hospital · Columbia, MO · CCN 260068

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisabyrd@mhccaremail.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 22, 2021.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1013140847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-815-4130",
            "fax_number": "573-815-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-815-4130",
            "fax_number": "573-815-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "110296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Columbia, MO · Nurse Practitioner in Missouri