Individual provider Active NPI

Lisa Craig Winborn, PHD.

  • Counseling Psychologist
  • Cordova, TN
National Provider Identifier
1659427573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
P0000001496 Issued in TN
Practice address
1540 Appling Care LN
Suite 100
Cordova, TN 38016-4957
Phone
(901) 388-1893
Fax
(901) 388-1995
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X P0000001496 TN Primary

Addresses

Primary practice location

1540 Appling Care LN
Suite 100
Cordova, TN 38016-4957

Mailing address

1540 Appling Care LN
Suite 100
Cordova, TN 38016-4957
Phone (901) 388-1893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000001496TNMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659427573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN",
            "address_2": "SUITE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164957",
            "telephone_number": "901-388-1893",
            "fax_number": "901-388-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN",
            "address_2": "SUITE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164957",
            "telephone_number": "901-388-1893",
            "fax_number": "901-388-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBORN",
        "first_name": "LISA",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P0000001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.