Individual provider Active NPI

Rejane C Lisboa, MD

  • Neurology Physician
  • Franklin, TN
National Provider Identifier
1609969955
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36145 Issued in TN
Practice address
4323 Carothers Pkwy Ste 303
Franklin, TN 37067-5918
Phone
(615) 538-6045
Fax
(615) 538-6049
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36145 TN Primary

Addresses

Primary practice location

4323 Carothers Pkwy Ste 303
Franklin, TN 37067-5918

Mailing address

501 Great Circle Rd
Suite 200
Nashville, TN 37228-1317
Phone (615) 538-6045

Other identifiers 3

IdentifierTypeStateIssuer
P00771567OtherTNRAILROAD MEDICARE
3877609MedicaidTN
1511090MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000532 TN Practitioner - Neurology 4183689474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Neurology CurrentSince Mar 1, 2009 Accepting new patients

Locations

4323 Carothers Pkwy
Ste 303
Franklin, TN 37067
Phone (615) 538-6045

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

4230 Harding Pike
Ste 535
Nashville, TN 37205
Phone (615) 222-1251

300 20th Ave N
Fl 9
Nashville, TN 37203

5700 Temple Rd
Ste 301
Nashville, TN 37221
Phone (629) 208-6160

Organizations & group practices 1

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": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1609969955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-538-6045",
            "fax_number": "615-538-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY STE 303",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675918",
            "telephone_number": "615-538-6045",
            "fax_number": "615-538-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBOA",
        "first_name": "REJANE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "36145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00771567",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3877609",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511090",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.