Lister Health Care Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LISTER HEALTH CARE CORPORATION

Doing business as

Calera Family Practice

Practice address

11206 Highway 25
Calera, AL 35040-6814

Phone

(800) 763-0941

Fax

(205) 668-3570

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Krista Chase

Title

Credentialing Agent

Phone

(256) 767-7494

Specialties & licenses 2

Addresses

Other names 1

• Calera Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lister Health Care Corporation

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1174579213

  O20211111002469

  Same enrollment
• Lister Health Care Corporation

  • Family Medicine Physician
  • Ardmore, AL
  • NPI 1922044494

  O20211111002469

  Same enrollment
• Lister Healthcare Corporation

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1437981172

  O20211111002469

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawna Moffett, CNM, FNP

  • Family Nurse Practitioner
  • Clanton, AL
  • NPI 1235139155
  NPD
• Connie Lee Jones, CRNP

  • Family Nurse Practitioner
  • Calera, AL
  • NPI 1225414238
  NPD (past)
• Sara Ritchey Walker Koziol, MD

  • Internal Medicine Physician
  • Calera, AL
  • NPI 1174593131
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1609806306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350401450",
            "telephone_number": "800-763-0941",
            "fax_number": "205-668-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 HIGHWAY 25",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406814",
            "telephone_number": "800-763-0941",
            "fax_number": "205-668-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISTER HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "256-767-7494"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calera Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calera Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Lake, PT, DPT
• Aleigh Kathryn Lanier, RN
• Rachel Ellison Lawley, M.ED., ALC, NCC
• Darrell Lee, LPN
• Monique Lewis, LICSW
• Jermaine Lakeith Livingston, PTA
• Samantha Long
• Tarra Nicole Love
• Kendall Lowery
• Sherry G Manns, LPN

• Family Medicine Physician in Calera, AL
• Providers in Calera, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.