Innovation Health, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INNOVATION HEALTH, LLC

Practice address

2076 Lascassas Pike Ste B
Murfreesboro, TN 37130-2085

Phone

(615) 535-0124

NPI assigned

Jan 30, 2018

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Jack, FNPNPI 1740210152

Title

Owner

Phone

(615) 535-0124

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Jack, APRN BC

  • Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1740210152
  Authorized official Same address or phone

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1538667001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 LASCASSAS PIKE STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 LASCASSAS PIKE STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302085",
            "telephone_number": "615-535-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-535-0124",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Ingraham, D.O.
• Thomas Wendell Ingram RPH Jr., PHARM.D.
• Karla Lynn Ingram, MSN, PMHNP-BC
• Initial Independence, Incorporated
• John David Inman, PT
• Insight Health Corp (The Imaging Center of Murfreesboro)
• Integrity Eye Care, PLLC
• Integrity Home Care LLC
• Interventional Spine & Neurology Center PLLC
• Irise Support Services

• Family Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.