Active NPI
Lisa Marie Coontz
- Family Nurse Practitioner
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000012214
- Practice address
- 421 S Main St
Crossville, TN 38555 - Phone
- (865) 675-7522
- Fax
- (865) 671-3196
- NPI assigned
- Jan 16, 2007
- Last updated
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000012214 | TN | Primary |
Addresses
Primary practice location
421 S Main St
Crossville, TN 38555
Mailing address
920 View Harbour Rd
Knoxville, TN 37934-7006
Phone (865) 966-3529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2250
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.91 of 100
- Quality
- 50.88
- Improvement activities
- 40
- Cost
- 69.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000012214 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of Tennessee PC | Family | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Maryland, LLC | Current | Accepting new patients | |
| Mountain Valley RX 05 Inc | Past | Accepting new patients | |
| Uhs Ventures | Past | Accepting new patients | |
| Adventist Healthcare Fort Washington Medical Center Inc | Past | Accepting new patients |
Locations
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Family, TN
-
dba Jeffco Drug Center in Jefferson City
- Community/Retail Pharmacy
- Jefferson City, TN
- NPI 1043364490
-
- General Acute Care Hospital
- Fort Washington, MD
- NPI 1932146461
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Washington, MD
- NPI 1932146461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1023169836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 VIEW HARBOUR RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379347006",
"telephone_number": "865-966-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38555",
"telephone_number": "865-675-7522",
"fax_number": "865-671-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONTZ",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000012214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.