Active NPI
Lisa Alaine Arthur-Banning, FNP
- Nurse Practitioner
- Clemson, SC
National Provider Identifier
1265679526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R99337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R99337 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Corner Family Prac | Current | Accepting new patients | |
| Booker Family Practice, LLC | Past | Accepting new patients | |
| Redfern Health Center | Past | Accepting new patients |
Locations
1205 N Highway 11
West Union, SC 29696
Phone (864) 638-5402
Interoperability endpoints
- redfern@clemson.edu
- 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.
-
- Family Medicine Physician
- West Union, SC
- NPI 1871413468
-
- Clinic/Center
- Clemson, SC
- NPI 1003350281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.