Lisa Michelle Archer, RN, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

34782 Issued in TN

Practice address

36 Bazeberry Rd
Cordova, TN 38018-7754

Phone

(901) 483-6278

NPI assigned

Apr 20, 2022

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cordova Pain Specialists, PLLCGroup PAC ID 1759500523, 5 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Curana Health of Tennessee LLCGroup PAC ID 7416261482, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.archer.1@19813.direct.athenahealth.com

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.

• Curana Health of Tennessee LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750761060
  Medicare reassignment Care Compare group NPD
• Cordova Pain Specialists, PLLC

  dba NorthStar Pain Management

  • Pain Medicine Physician
  • Cordova, TN
  • NPI 1437565900
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1821732488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 VINTON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045229",
            "telephone_number": "731-334-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BAZEBERRY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187754",
            "telephone_number": "901-483-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "RN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "34782",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "183388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apex Pulmonary and Sleep Medicine, PLLC
• Apple Seeds, Inc.
• Applingwood
• Applingwood Healthcare Center LLC
• Nereida Aranda
• Thomas W Arnold, M.D.
• Ysabelle Charlaine Comia Arrozal
• Audra Arstikaitis-Nagel, DC
• Jacqueline Yaa Konadu Asamoah
• Judy D Ash, M.D.

• Gerontology Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.