Active NPI
Lisa Tayman, CRNP
- Family Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1346617396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R155788
- Practice address
- 106 Milford St Ste 201
Salisbury, MD 21804-6959 - Phone
- (410) 543-1616
- Fax
- (410) 543-8497
- NPI assigned
- Aug 25, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R155788 | MD | Primary |
Addresses
Primary practice location
106 Milford St Ste 201
Salisbury, MD 21804-6959
Mailing address
4834 Goose Creek Dr
Salisbury, MD 21804-7287
Other practice location 1
29 Broad St Ste 201
Berlin, MD 21811-1054
Phone (410) 543-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090
10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191
7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717
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": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346617396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4834 GOOSE CREEK DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218047287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MILFORD ST STE 201",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046959",
"telephone_number": "410-543-1616",
"fax_number": "410-543-8497"
}
],
"practiceLocations": [
{
"address_1": "29 Broad St Ste 201",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "MD",
"postal_code": "218111054",
"country_code": "US",
"telephone_number": "410-543-1616",
"fax_number": "410-543-8497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYMAN",
"first_name": "LISA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R155788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.