Amorry H Lisenby, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

73585 Issued in SC

Practice address

521 Park St
Bishopville, SC 29010-1133

Phone

(803) 484-5391

NPI assigned

Feb 6, 2013

Last updated

Feb 6, 2013By the provider in NPPES

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

• Amy Lisenby Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lee County School District

  • Local Education Agency (LEA)
  • Bishopville, SC
  • NPI 1790810075
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1144569468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 ST CHARLES RD",
            "city": "MAYESVILLE",
            "state": "SC",
            "postal_code": "291048609",
            "telephone_number": "803-428-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101133",
            "telephone_number": "803-484-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISENBY",
        "first_name": "AMORRY",
        "middle_name": "H",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "73585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LISENBY",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lee County Disabilities and Special Needs Board (Lee County DSN Board)
• Lee County Eye Associates, PC (Lee County Eye Associates)
• Lee County School District
• Jason C Lee, OD
• Meoceania V Lewis-Wells
• Elease S. Lloyd
• Julianna Lorick, BA, M.ED
• Earnestine J Lowery
• Tameka D Lyles, MSW, CAC-P
• Map - Bishopville, P.a.

• Registered Nurse in Bishopville, SC
• Providers in Bishopville, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.