NPIMap

Organization Active NPI

Lisa Michelle Callahan

Doing business as Lisa Callahan CPNP

  • Rural Health Clinic/Center
  • Grants Pass, OR
National Provider Identifier
1285947622
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LISA MICHELLE CALLAHAN
Doing business as
Lisa Callahan CPNP
Practice address
1601 NE 6TH St
Grants Pass, OR 97526-1035
Phone
(541) 472-0021
Fax
(541) 476-4003
NPI assigned
Jul 14, 2010
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mrs. Lisa Michelle Callahan, RN, MSN, CPNPNPI 1649261132
Title
Owner
Phone
(541) 472-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1601 NE 6TH St
Grants Pass, OR 97526-1035

Mailing address

1601 NE 6TH St
Grants Pass, OR 97526-1035
Phone (541) 472-0021

Other names 1

  • Lisa Callahan CPNP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grants Pass Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1285947622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261035",
            "telephone_number": "541-472-0021",
            "fax_number": "541-476-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261035",
            "telephone_number": "541-472-0021",
            "fax_number": "541-476-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MICHELLE CALLAHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-472-0021",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, CPNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Callahan CPNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.