Lisa Diane Pearrow, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R091545 Issued in AR

Practice address

3595 N Shiloh Dr
Fayetteville, AR 72703-5359

Phone

(479) 326-1424

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1912650490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NE GREENBRIER CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128445",
            "telephone_number": "479-326-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 N SHILOH DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035359",
            "telephone_number": "479-326-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARROW",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R091545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanisha Sade Payne
• Michael Davis Payne II, MD
• Steven William Payne, DDS
• Terry S Payton, MD
• Melanie Rachell Pearce Smith, D.O.
• Victoria Renee Peckenpaugh, APRN
• Allison Pederson, MHPP
• Jessalyn B Pedone, LCSW
• Stacey Leah Pejsa, NP
• Bryce Pelfrey

• Registered Nurse in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.