Lisa W. Cobb, CRNP-BC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

1-068239 Issued in AL

Practice address

1300 County Road 326
Moulton, AL 35650-7017

Phone

(256) 366-4356

NPI assigned

May 5, 2021

Last updated

Jun 2, 2021By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1225611320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 COUNTY ROAD 326",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356507017",
            "telephone_number": "256-366-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COUNTY ROAD 326",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356507017",
            "telephone_number": "256-366-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "LISA",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "1-068239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana S Carpenter, LPTA
• Charles D Coffey MD PC
• Gene Kay Cheng, M.D.
• Siridao Laohasatit Cheng, M.D.
• Kelsey Leigh-Ann Clark, CRNP
• Heather Nicole Coker, COTA/L
• David Michael Cole, OD
• Celetta Coleman-Selby, MSW
• Crystal Leigh Collins, MS, RDN, LDN
• Complete Family Care MD PC

• Geriatric Medicine (Internal Medicine) Physician in Moulton, AL
• Providers in Moulton, AL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.