Individual provider Active NPI

Lisa Marie Dillon, FNP-C

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1962360982
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41071 Issued in TN
Practice address
3300 Williams Enterprise Dr
Cookeville, TN 38506-4201
Phone
(931) 528-9222
NPI assigned
Jan 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 41071 TN Primary

Addresses

Primary practice location

3300 Williams Enterprise Dr
Cookeville, TN 38506-4201

Mailing address

3300 Williams Enterprise Dr Ste 1
Cookeville, TN 38506-4224
Phone (931) 528-9222

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
I20260318002683 TN Practitioner - Nurse Practitioner 0840774816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 Williams Enterprise Dr
Suite 1
Cookeville, TN 38506-4224

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41071TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Family Care, PLLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

3300 Williams Enterprise Dr
Ste 1
Cookeville, TN 38506
Phone (931) 260-4770

3300 Williams Enterprise Dr
Cookeville, TN 38506
Phone (931) 528-9222

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 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": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1962360982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR STE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064224",
            "telephone_number": "931-528-9222",
            "fax_number": "931-854-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILLIAMS ENTERPRISE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064201",
            "telephone_number": "931-528-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "41071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.