Individual provider Active NPI

Lisa Teachnor, CRNP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1346597515
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907287 Issued in MS
Practice address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone
(877) 493-4321
NPI assigned
Aug 7, 2012
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232482 AR
Family Nurse Practitioner 363LF0000X 1195770 TX
Family Nurse Practitioner 363LF0000X 244988 LA
Family Nurse Practitioner 363LF0000X ARNP 9174159 FL
Family Nurse Practitioner 363LF0000X 71017832A IN
Family Nurse Practitioner 363LF0000X 227014 OK
Family Nurse Practitioner 363LF0000X 2071296 ID
Family Nurse Practitioner 363LF0000X 3-002179 AL
Family Nurse Practitioner 363LF0000X 57953 WY
Family Nurse Practitioner 363LF0000X 888058 NV
Family Nurse Practitioner 363LF0000X 907287 MS Primary
Family Nurse Practitioner 363LF0000X 116730 NE
Family Nurse Practitioner 363LF0000X 0104919 CO
Family Nurse Practitioner 363LF0000X 4704439044 MI
Family Nurse Practitioner 363LF0000X A184089 IA

Addresses

Primary practice location

1 CVS Dr
Woonsocket, RI 02895-6146

Mailing address

5917 Old Spanish TRL
Ocean Springs, MS 39564-6807
Phone (334) 504-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, TX, NV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140311001858 FL Practitioner - Nurse Practitioner 2668623042 Reassigns benefits to 1 organization
I20220120000587 NC Practitioner - Nurse Practitioner 2668623042 Reassigns benefits to 2 organizations
I20250520004997 TX Practitioner - Nurse Practitioner 2668623042 Reassigns benefits to 2 organizations
I20250829002109 NV Practitioner - Nurse Practitioner 2668623042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Practice addresses (Care Compare)

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002179ALMDFamily Nurse Practitioner
232482ARMDFamily Nurse Practitioner
0104919COMDFamily Nurse Practitioner
ARNP 9174159FLMDFamily Nurse Practitioner
A184089IAMDFamily Nurse Practitioner
2071296IDMDFamily Nurse Practitioner
71017832AINMDFamily Nurse Practitioner
244988LAMDFamily Nurse Practitioner
4704439044MIMDFamily Nurse Practitioner
907287MSMDFamily Nurse Practitioner
116730NEMDFamily Nurse Practitioner
227014OKMDFamily Nurse Practitioner
57953WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Mar 7, 2014 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince May 15, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Nov 9, 2021 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince Aug 14, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince May 15, 2025 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince May 15, 2025 Accepting new patients
QHG of Enterprise Inc Past Accepting new patients
United Florala, Inc Past Accepting new patients
Erx Group, LLC Past Accepting new patients

Locations

302 E James Lee Blvd
Crestview, FL 32539
Phone (850) 682-1002

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

773 Russ Ave
Waynesville, NC 28786
Phone (828) 452-2230

1825 E Warm Springs Rd
Las Vegas, NV 89119
Phone (702) 361-4873

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1346597515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 OLD SPANISH TRL",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646807",
            "telephone_number": "334-504-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "877-493-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHNOR",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "232482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1195770",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "244988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9174159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017832A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "227014",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "2071296",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "57953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "888058",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907287",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0104919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704439044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A184089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.