Lisa McGowan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

224477-0 Issued in MN

Practice address

25 1St Ave NE
Buffalo, MN 55313-1568

Phone

(763) 682-3005

Fax

(763) 682-3006

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adara Home Health, Inc.

  • Home Health Agency
  • Buffalo, MN
  • NPI 1063420198
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1497128540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 72ND AVE NE",
            "address_2": "APT 106",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323561",
            "telephone_number": "763-607-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131568",
            "telephone_number": "763-682-3005",
            "fax_number": "763-682-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "224477-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Robin Mathisen, OD
• Mary G Mattison-Wynn, PSY D LP
• Karen H Mattson, R PH
• Chelsie Mauk
• Grant McFadden, PA-C, MPAS
• Sheila McIntire, PA C
• Tricia D McMullen, RN
• Zachariah Marlin McNeil
• Teri D. McNelis, M.D.
• Cynthia McSherry, M.D.

• Registered Nurse in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.