Individual provider Active NPI

Lisa Diane Foreman, NP

  • Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1366749954
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-057085 Issued in AL
Practice address
300 Medical Center Dr Ste 100
Gadsden, AL 35903-1139
Phone
(256) 492-2663
Fax
(256) 492-8620
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-057085 AL Primary

Addresses

Primary practice location

300 Medical Center Dr Ste 100
Gadsden, AL 35903-1139

Mailing address

300 Medical Center Dr Ste 100
Gadsden, AL 35903-1139
Phone (256) 492-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121002000024 AL Practitioner - Nurse Practitioner 7719136092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

705 S 3Rd St
Gadsden, AL 35901-5305
Phone (256) 546-1445

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-057085ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Hospitalist Services CurrentSince Jan 1, 2019 Accepting new patients
Alpha Wellness Center and Spa CurrentSince Jan 21, 2024 Accepting new patients
Gadsden Hma Physician Management, LLC Past Accepting new patients

Locations

410 Broad St
Gadsden, AL 35901
Phone (256) 438-5107

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1366749954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031139",
            "telephone_number": "256-492-2663",
            "fax_number": "256-492-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031139",
            "telephone_number": "256-492-2663",
            "fax_number": "256-492-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-057085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.