Lisa Crass
Individual provider Active NPI Licensed Practical Nurse · Harriman, TN
NPI 1649947664 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1649947664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN0000037109 (TN)
- Practice address
- 125 Starboard CT
Harriman, TN 37748-4529 - Phone
- (423) 539-8018
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN0000037109 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN0000037109 | TN | Yes |
Addresses
Primary practice location
125 Starboard CT
Harriman, TN 37748-4529
Mailing address
125 Starboard CT
Harriman, TN 37748-4529
Other providers in Harriman, TN
- Hannah Elizabeth Cox Cline
- Angela Nicole Coffey
- Leonard Michael Copertino
- Shelbey Blake Corbin
- Covenant Homecare
- Steven Alan Crews
- Crossroads Treatment Centers of Tennessee, PC
- Kathleen Marie Custard
- Matthew Cziep
- Miriam A Danzey
All providers in Harriman, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.