Individual provider Active NPI

Lisa Marie Taylor, APN

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1174914246
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025003005 Issued in MO
Practice address
3105 MC Clelland Blvd
Joplin, MO 64804-1640
Phone
(417) 347-5400
Fax
(417) 347-5709
NPI assigned
Feb 11, 2015
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025003005 MO Primary

Addresses

Primary practice location

3105 MC Clelland Blvd
Joplin, MO 64804-1640

Mailing address

PO Box 3810
Joplin, MO 64803-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150317001921 IL Practitioner - Nurse Practitioner 0446577142 Reassigns benefits to 2 organizations
I20250602000392 MO Practitioner - Nurse Practitioner 0446577142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223

3105 McClelland Blvd
Joplin, MO 64804-1640
Phone (417) 347-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD @ Home Illinois, SC CurrentSince Oct 4, 2019 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jun 2, 2025 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Mar 15, 2020 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3105 Mc Clelland Blvd
Joplin, MO 64804
Phone (417) 347-5400

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

Interoperability endpoints

  • Direct secure messaging: lisa.taylor.1@3342.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1174914246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 MC CLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041640",
            "telephone_number": "417-347-5400",
            "fax_number": "417-347-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025003005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.