Individual provider Active NPI

Lisa L Deloney, NP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1780441188
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F02240726 Issued in AL
Practice address
1435 W Main St
Dothan, AL 36301-1311
Phone
(334) 794-7847
NPI assigned
Mar 1, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-065545 AL
Nurse Practitioner 363L00000X F02240726 AL Primary
Family Medicine Physician 207Q00000X F02240726 AL

Addresses

Primary practice location

1435 W Main St
Dothan, AL 36301-1311

Mailing address

1435 W Main St
Dothan, AL 36301-1311
Phone (334) 794-7847

Other practice location 1

1168 Timbers Dr
Dothan, AL 36301-4968
Phone (334) 200-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-065545ALMDNurse Practitioner
F02240726ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1780441188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011311",
            "telephone_number": "334-794-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011311",
            "telephone_number": "334-794-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 Timbers Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363014968",
            "country_code": "US",
            "telephone_number": "334-200-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELONEY",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-065545",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "F02240726",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "F02240726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.