Lisa Whiteaker MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LISA WHITEAKER MD

Practice address

1120 Perimeter Park Dr
Cookeville, TN 38501-0922

Phone

(931) 528-0002

NPI assigned

Mar 15, 2021

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Whiteaker, MDNPI 1306811427

Title

Medical Doctor

Phone

(931) 528-0002

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Whiteaker, MD

  • Dermatology Physician
  • Cookeville, TN
  • NPI 1306811427
  NPD Authorized official
• McKenzie Brooke Davis, PA-C

  • Medical Physician Assistant
  • Cookeville, TN
  • NPI 1912597675
  NPD
• Shelby Watkins, PA-C

  • Physician Assistant
  • Cookeville, TN
  • NPI 1396595419
  NPD
• Kristi A Donegan, P.A.

  • Physician Assistant
  • Cookeville, TN
  • NPI 1619215027
  NPD (past)
• Rochelle M Lamb, APN

  • Nurse Practitioner
  • Sarasota, FL
  • NPI 1427023837
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1043895659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PERIMETER PARK DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010922",
            "telephone_number": "931-528-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PERIMETER PARK DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010922",
            "telephone_number": "931-528-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WHITEAKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "WHITEAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "931-528-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Optical of Tennessee, LLC (Horner Rausch Super Optical Of Cookeville)
• John Paul Limbacher II, MD
• Lincare Inc. (United Medical)
• Megan Lindfors, BEHAVIOR TECHNICIAN
• Mary Coleman Linkous, LPC-MHSP
• Amber Lisic, MA
• Eric Lisic, DO
• Tawanna Lisic
• Little Hands Little Feet Pediatric Therapies, LLC
• Katherine Little, FNP

• Medical Specialty Clinic/Center in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.