Lisa Terrell

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R850223 Issued in MS

Practice address

902 SGT. John Pittman Drive
Greenwood, MS 38930-2800

Phone

(662) 207-5657

NPI assigned

Aug 6, 2014

Last updated

Dec 10, 2015By 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

Medicare fee-for-service enrollment

Enrolled in MS

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.terrell.1@22854.direct.athenahealth.com

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.

• Bolivar Physician Practices LLC

  dba Bolivar Orthopedics

  • Orthopaedic Surgery Physician
  • Cleveland, MS
  • NPI 1063659530
  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1326655986

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Bolivar Physician Practices LLC

  dba Rosedale Family Medical

  • Rural Health Clinic/Center
  • Rosedale, MS
  • NPI 1205489689
  NPD
• Bolivar Physician Practices LLC

  dba Delta Neurology Center

  • Neurology Physician
  • Cleveland, MS
  • NPI 1629379078
  NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1225447923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SGT. JOHN PITTMAN DRIVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302800",
            "telephone_number": "662-207-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SGT. JOHN PITTMAN DRIVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302800",
            "telephone_number": "662-207-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R850223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Denise Taylor
• Joanne D Taylor, PHARMACIST
• Minnie Lee Taylor
• Sarah Austin Taylor
• Tender Home Care LLC (Tender Home Care)
• Abhash Chandra Thakur, MD
• Donna Theriot
• Delphia L Thomas
• Jacqueline Smith Thomas
• Laquita R. Thomas

• Nurse Practitioner in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.