Lisa G Everett, RPH

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

015851 Issued in KY

Practice address

5453 W 61St PL
Mission, KS 66205-3002

Phone

(913) 322-0001

Fax

(913) 322-0001

NPI assigned

Jul 26, 2012

Last updated

Jul 26, 2012By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1205182375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 W 61ST PL",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053002",
            "telephone_number": "913-322-0001",
            "fax_number": "913-322-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 W 61ST PL",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053002",
            "telephone_number": "913-322-0001",
            "fax_number": "913-322-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "KY",
            "license": "015851",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MO",
            "license": "029533",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "KS",
            "license": "1-14133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Everett, RPH
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• Jennifer Marie Fauth, OD
• Kaleigh Feldkamp
• Katherine Felt, LMFTA
• Samantha Ferguson

• Pharmacist in Mission, KS
• Providers in Mission, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.