Active NPI
Lisa L Deloney, NP
- Nurse Practitioner
- Dothan, AL
National Provider Identifier
1780441188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F02240726
- Practice address
- 1435 W Main St
Dothan, AL 36301-1311 - Phone
- (334) 794-7847
- NPI assigned
- Mar 1, 2024
- Last updated
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-065545 | AL | MD | Nurse Practitioner |
| F02240726 | AL | MD | Nurse 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
- Colleen Degroot, PA-S
- Janith S Dehaven, CRNA
- Delicate Daisies Homecare LLC
- Carey A Dellock, MD
- Jennifer Deloney, CCC-SLP
- John Daniel Denney, O.D.
- April R Denton, RPH
- Dermatology and Skin Health of Dothan PC
- Dermatology Associates of Bay County, P.a.
- Dermatology Associates of Dothan, LLC (Dermatology Associates of Dothan)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.