Lisa Yvonne Carter, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A003513 Issued in AR

Practice address

112 Pearson
Benton, AR 72015-4436

Phone

(501) 326-6720

Fax

(501) 778-0450

NPI assigned

Feb 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Clinic, Inc

  • Psychiatry Physician
  • Benton, AR
  • NPI 1649267659

  AR

  Medicare reassignment Care Compare group NPD
• Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1578870663
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Clinic Inc 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1174829634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PEARSON",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154436",
            "telephone_number": "501-326-6720",
            "fax_number": "501-778-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PEARSON",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154436",
            "telephone_number": "501-326-6720",
            "fax_number": "501-778-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LISA",
        "middle_name": "YVONNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "R68406",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185386795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Isidro Cartaya, M.D.
• Archie Carter, RECOVERY ADVOCATE
• Christopher Carter, RECOVERY ASSISTANT
• Jaston Carter, PROGRAM TECH
• Keshia M Carter
• Mary Carter, RECOVERY ASSISTANT
• Natasha Carter, RECOVERY ASSISTANT
• Frederick Carthon, QBHP
• Ana Castro-Mejia, DIETARY AIDE
• Evelyn L Cathcart, M.D.

• All providers in Benton, AR
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.