Individual provider Active NPI

Lisa Ousley, DNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1033214739
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000015032 Issued in TN
Practice address
365 Stout Dr. Suite 160
Johnson City, TN 37614-1709
Phone
(423) 929-2930
NPI assigned
Sep 14, 2006
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24000013 VA
Family Nurse Practitioner 363LF0000X 0000015032 TN Primary

Addresses

Primary practice location

365 Stout Dr. Suite 160
Johnson City, TN 37614-1709

Mailing address

365 Stout Drive
Johnson City, TN 37601-4824
Phone (423) 929-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209001809 GA Practitioner - Nurse Practitioner 4385784925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15032TNMDPhysical Therapist
24000013VAMDNurse Practitioner
0000015032TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctors Clinic LLC CurrentSince Sep 1, 2021 Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients
Hank Clay Jr MD PC Past Accepting new patients
Watauga Lake Family Medicine PC Past Accepting new patients

Locations

2320 Atlanta Hwy
Ste 105
Cumming, GA 30040
Phone (678) 473-0715

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1033214739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 STOUT DRIVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014824",
            "telephone_number": "423-929-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 STOUT DR. SUITE 160",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141709",
            "telephone_number": "423-929-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSLEY",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "24000013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000015032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.