Individual provider Active NPI

Lisa G Poorman

  • Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1871800060
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA 11714NP Issued in OH
Practice address
901 Washington St
Portsmouth, OH 45662-3944
Phone
(740) 354-7702
Fax
(740) 353-1662
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA 11714NP OH Primary

Addresses

Primary practice location

901 Washington St
Portsmouth, OH 45662-3944

Mailing address

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101025000653 OH Practitioner - Nurse Practitioner 7315130143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mental Health Center IncGroup PAC ID 7012902075, 25 clinicians

Practice addresses (Care Compare)

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 11714NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Nov 18, 2010 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Nov 18, 2010 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center Inc Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients

Locations

225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.poorman.p1@direct.shawneemhc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1871800060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORMAN",
        "first_name": "LISA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA 11714NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.