Individual provider Active NPI

Lisa Diane Loggains, APRN, FNP-C

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1275316804
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225572 Issued in AR
Practice address
1021 Neil Dr
Jonesboro, AR 72401-4462
Phone
(870) 898-0088
NPI assigned
Aug 16, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225572 AR Primary

Addresses

Primary practice location

1021 Neil Dr
Jonesboro, AR 72401-4462

Mailing address

181 County Road 700
Jonesboro, AR 72401-8123
Phone (870) 335-6145

Other practice location 1

1547 Harrison St
Batesville, AR 72501-7222
Phone (870) 793-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20231020003080 AR Practitioner - Nurse Practitioner 5991150443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Wound Solutions of Central Arkansas LLCGroup PAC ID 7911365028, 9 clinicians
Wound Solutions of Nea LLCGroup PAC ID 9335597681, 2 clinicians

Practice addresses (Care Compare)

Jonesboro, AR 72401
Phone (870) 898-0088

1812 Pleasant Grove Rd
Suite B
Jonesboro, AR 72405-7870
Phone (870) 898-0088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225572ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Solutions of Nea, LLC CurrentSince Dec 24, 2023 Accepting new patients
Wound Solutions of Central Arkansas LLC CurrentSince Oct 2, 2023 Accepting new patients
Wound Solutions of Nwa, LLC PastSince Oct 2, 2023 Accepting new patients
Wound Solutions of Semo LLC Past Accepting new patients

Locations

1021 Neil Dr
Jonesboro, AR 72401
Phone (870) 273-2799

1021 Neil Dr
Ste 100
Jonesboro, AR 72401
Phone (870) 898-0088

1021 Neil Dr
Ste 101
Jonesboro, AR 72401
Phone (870) 898-0088

1812 Pleasant Grove Rd
#B
Jonesboro, AR 72405
Phone (870) 275-9494

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1275316804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 COUNTY ROAD 700",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018123",
            "telephone_number": "870-335-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NEIL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014462",
            "telephone_number": "870-898-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017222",
            "country_code": "US",
            "telephone_number": "870-793-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGGAINS",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "225572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.