Individual provider Active NPI

Lisa Alaine Arthur-Banning, FNP

  • Nurse Practitioner
  • Clemson, SC
National Provider Identifier
1265679526
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R99337 Issued in SC
Practice address
735 McMillan Rd
Clemson, SC 29634-1497
Phone
(864) 656-0692
Fax
(864) 656-1619
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R99337 SC Primary

Addresses

Primary practice location

735 McMillan Rd
Clemson, SC 29634-1497

Mailing address

735 McMillan Rd Box 344054
Clemson, SC 29634-0001
Phone (864) 656-0692

Other practice location 1

1011 Tiger Blvd Ste 300
Clemson, SC 29631-1497
Phone (864) 722-9262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Redfern@clemson.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20110221000578 SC Practitioner - Nurse Practitioner 7517148877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R99337SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Corner Family Prac CurrentSince Jul 7, 2020 Accepting new patients
Booker Family Practice, LLC PastSince Jul 7, 2020 Accepting new patients
Redfern Health Center PastSince Aug 30, 2020 Accepting new patients

Locations

1205 N Highway 11
West Union, SC 29696
Phone (864) 638-5402

Interoperability endpoints

  • Direct secure messaging: redfern@clemson.edu
  • Direct secure messaging: lbanning289989@direct.ghs.myhfn.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1265679526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD BOX 344054",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-0692",
            "fax_number": "864-656-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MCMILLAN RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296341497",
            "telephone_number": "864-656-0692",
            "fax_number": "864-656-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Tiger Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311497",
            "country_code": "US",
            "telephone_number": "864-722-9262",
            "fax_number": "864-722-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTHUR-BANNING",
        "first_name": "LISA",
        "middle_name": "ALAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "R99337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Redfern@clemson.edu",
            "affiliation": "N",
            "address_1": "735 McMillan Rd",
            "city": "Clemson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296341497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.