Lisa K Hoehn, FNP
Individual provider Active NPI Family Nurse Practitioner · Flomaton, AL
NPI 1124015847 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1124015847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-130280 (AL)
- Practice address
- 174 Highway 113
Flomaton, AL 36441-4556 - Phone
- (251) 296-2456
- Fax
- (251) 296-0320
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kidney Experts PLLC
Practice addresses (Care Compare)
215 Hawks Rd
Suite 11
Martin, TN 38237-2742
Phone (731) 286-1510
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000751 | AL | Practitioner - Nurse Practitioner | 4587664453 | |
| I20210222002054 | TN | Practitioner - Nurse Practitioner | 4587664453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-130280 | AL | MD | Family Nurse Practitioner |
| R866285 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current |
Accepting new patients | |
| Kidney Experts PLLC | Current |
Accepting new patients | |
| D.W. McMillan Memorial Hospital | Past | Accepting new patients |
Locations
1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180
174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456
2712 Criswell Ave
Pascagoula, MS 39567
Phone (228) 696-9690
11762 Douglass St
Ste 103
Arlington, TN 38002
Phone (248) 304-7009
1995 Highway 51 S
Ste 208
Covington, TN 38019
Phone (901) 476-7070
1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510
221 Sterling Farm Dr
Jackson, TN 38305
Phone (731) 668-1199
160 W University Pkwy
Ste Cd
Jackson, TN 38305
215 Hawks Rd
Ste 11
Martin, TN 38237
Phone (731) 286-1510
1117 S Miles Ave
Ste 6
Union City, TN 38261
Phone (713) 884-0914
Interoperability endpoints
- lhoehn37470@direct.davitaphysiciansolutions.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R866285 | MS | |
| Family Nurse Practitioner | 363LF0000X | 1-130280 | AL | Yes |
Addresses
Primary practice location
174 Highway 113
Flomaton, AL 36441-4556
Mailing address
PO Box 997
Flomaton, AL 36441-0997
Phone (251) 296-2456
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00368675 | Other | MS | RAILROAD MEDICARE |
| 00127119 | Medicaid | MS |
NPI Registry JSON
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1124015847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "FLOMATON",
"state": "AL",
"postal_code": "364410997",
"telephone_number": "251-296-2456",
"fax_number": "251-296-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 HIGHWAY 113",
"city": "FLOMATON",
"state": "AL",
"postal_code": "364414556",
"telephone_number": "251-296-2456",
"fax_number": "251-296-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEHN",
"first_name": "LISA",
"middle_name": "K",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R866285",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-130280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00368675",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00127119",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flomaton, AL
- Dura Med Southeast Inc
- Dura-Med Southeast, Inc.
- General Practice M Hakima MD PC
- Billy Joe Golden Jr.
- Malaika Hakima
- Mark Thomas Hudson
- Kelsie Lauren Johnson
- Melissa Gail Kilcrease
- Anna M. Lee
- Scott Garner Moore
All providers in Flomaton, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.