Individual provider Active NPI

Lisa S Rogers, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1811204795
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN14714 Issued in TN
Practice address
601 Benton Ave
Nashville, TN 37204-2303
Phone
(615) 292-9770
Fax
(615) 292-9706
NPI assigned
Sep 13, 2010
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000014714 TN
Family Nurse Practitioner 363LF0000X APN14714 TN Primary

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204-2303

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770

Other practice location 1

2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770

Other identifiers 1

IdentifierTypeStateIssuer
Q027676MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521002583 TN Practitioner - Nurse Practitioner 4981827870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Community Health Services, IncGroup PAC ID 9234035809, 11 clinicians

Practice addresses (Care Compare)

601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 932-7631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000014714TNMDNurse Practitioner
APN14714TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Health Services, Inc Family CurrentSince Jun 3, 2019 Accepting new patients

Locations

2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 250-1475

601 Benton Ave
Nashville, TN 37204
Phone (615) 292-9770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1811204795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "152-929-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-292-9770",
            "fax_number": "615-292-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000014714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN14714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.