Lisa McConnell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

161519 Issued in NC

Practice address

10115 Pineshadow Dr
#205
Charlotte, NC 28262-1171

Phone

(336) 340-5636

NPI assigned

Jan 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1194961722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5966",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 PINESHADOW DR",
            "address_2": "#205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621171",
            "telephone_number": "336-340-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "161519",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9270554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth McComas, PHD
• Heather McComb
• Angela Lucille McConnell, CRNA
• Caitlin McConnell, CRNA
• Jennifer E McConnell, ED.S., LPA
• Naila Amani McConnell
• Jessica Kramer McCool, MD
• Jaclyn McCord, MD
• Syronda McCorkle Armstrong
• Lynette McCorkle-Austin

• Registered Nurse in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.