Active NPI
Lisa M Coulter, REEGT,RPSGT
- Other Technician
- Benton, AR
National Provider Identifier
1295890226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2101 Congo
Suite 900
Benton, AR 72015-2750 - Phone
- (501) 315-8818
- Fax
- (501) 315-8828
- NPI assigned
- Dec 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | AR | Primary | |
| EEG Technician | 2472E0500X | AR |
Addresses
Primary practice location
2101 Congo
Suite 900
Benton, AR 72015-2750
Mailing address
PO Box 8694
Hot Springs Village, AR 71910-8694
Phone (501) 860-6130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coulter Technical Services Inc | Eeg | Past | Accepting new patients |
Organizations & group practices 1
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": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1295890226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8694",
"city": "HOT SPRINGS VILLAGE",
"state": "AR",
"postal_code": "719108694",
"telephone_number": "501-860-6130",
"fax_number": "501-860-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CONGO",
"address_2": "SUITE 900",
"city": "BENTON",
"state": "AR",
"postal_code": "720152750",
"telephone_number": "501-315-8818",
"fax_number": "501-315-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "LISA",
"middle_name": "M",
"credential": "REEGT,RPSGT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "AR",
"license": null,
"primary": true
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": "AR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.