Individual provider Active NPI

Lisa Yezbak, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1396783197
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD029443 Issued in TN
Practice address
2300 Patterson St
Nashville, TN 37203-1538
Phone
(615) 781-4000
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD029443 TN Primary

Addresses

Primary practice location

2300 Patterson St
Nashville, TN 37203-1538

Mailing address

PO Box 634706
Cincinnati, OH 45263-0001
Phone (865) 292-3000

Other identifiers 4

IdentifierTypeStateIssuer
4151527OtherTNBLUECROSS
P00208428OtherTNRAILROAD MEDICARE
3815498MedicaidTN
3069155OtherTNBLUECROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029443TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caleb Creek Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Cane Ridge Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
Sydneys Bluff Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Yellow Poplar Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine PastSince May 7, 2019 Accepting new patients

Organizations & group practices 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1396783197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "865-292-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031538",
            "telephone_number": "615-781-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEZBAK",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD029443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "4151527",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00208428",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815498",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "3069155",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.