Josephine L Listerhendrix, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704128272 Issued in MI

Practice address

123 Retired
Traverse City, MI 49686

Phone

(231) 357-4814

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Josephine L Lister Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1073662078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 BIRCHWOOD CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 RETIRED",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-357-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTERHENDRIX",
        "first_name": "JOSEPHINE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704128272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "LISTER",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ann Lintz, OD
• Paula Lipinski, LLMSW
• Brian Allen Lishawa, M.D.
• Kristina Anne Lishawa, M.D.
• Brittany Channing-Noble Lister, M.D.
• Heather Leanne Litchfield, R.PH.
• Fallon Marie Litten
• Jennifer Marie Littlefield, FNP-BC
• Live Well Counseling LLC
• Tamella Paige Livengood, MSN, FNP

• All providers in Traverse City, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.