Lisa J. Hanner-Robinson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01052568A Issued in IN

Practice address

1535 S. Piazza Drive
Bloomington, IN 47401-5578

Phone

(812) 334-2772

Fax

(812) 323-7347

NPI assigned

Jun 16, 2005

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

Other identifiers 1

Other names 1

• Lisa J. Jerrells Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joie Devivre

  • Family Medicine Physician
  • Bloomington, IN
  • NPI 1003061409
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1255336160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S. PIAZZA DRIVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015578",
            "telephone_number": "812-334-2772",
            "fax_number": "812-323-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S. PIAZZA DRIVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015578",
            "telephone_number": "812-334-2772",
            "fax_number": "812-323-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNER-ROBINSON",
        "first_name": "LISA",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052568A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01052568A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JERRELLS",
            "middle_name": "J.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli Hancock, RBT
• Hands at Home, LLC
• Cora Handy
• Kandi Danielle Hann
• Rachel Amanda Hanna, NP
• Aliandria Hansen, MT-BC
• William Albert Hanshaw, LCSW,ACSW
• Gregory Ervie Hanson, M.D.
• Rebecca Harder, MA, CCC-SLP
• Lauren Marie Hardisty, M.D.

• General Practice Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.