Lisa A Dove, RN, CS, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

118517 Issued in MO

Practice address

2303 Village Dr
Saint Joseph, MO 64506-4954

Phone

(816) 232-6818

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: lisa.dove@direct.mymlc.com

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1851417646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-307-4893",
            "fax_number": "816-232-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MO",
            "postal_code": "646448311",
            "country_code": "US",
            "telephone_number": "816-583-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645012224",
            "country_code": "US",
            "telephone_number": "816-233-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 State St",
            "address_purpose": "LOCATION",
            "city": "Mound City",
            "state": "MO",
            "postal_code": "644701717",
            "country_code": "US",
            "telephone_number": "660-442-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Rhode Island St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "MO",
            "postal_code": "644639622",
            "country_code": "US",
            "telephone_number": "660-535-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645052631",
            "country_code": "US",
            "telephone_number": "816-233-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S US Highway 169",
            "address_purpose": "LOCATION",
            "city": "Gower",
            "state": "MO",
            "postal_code": "644549116",
            "country_code": "US",
            "telephone_number": "816-424-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 W US Highway 71",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644851151",
            "country_code": "US",
            "telephone_number": "816-324-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645041170",
            "country_code": "US",
            "telephone_number": "816-238-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Victory Ln",
            "address_purpose": "LOCATION",
            "city": "Cainsville",
            "state": "MO",
            "postal_code": "646329506",
            "country_code": "US",
            "telephone_number": "660-893-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Main St",
            "address_purpose": "LOCATION",
            "city": "Braymer",
            "state": "MO",
            "postal_code": "646249325",
            "country_code": "US",
            "telephone_number": "660-645-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "RN, CS, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "118517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425053709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan C Dominguez, MD
• Andrew Donaldson, MD
• Amanda Jo Donovan, RN
• Tara Denise Dorman, PLPC
• Paige Dosch, DO
• Gabby Dowdell
• Sibyl E Downing, MD
• Zachary M Downs, D.O.
• Lisa Doyle, CRADC, MA
• Sandra N Dozier, L.P.C.

• Pediatric Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.