Lisa Joanne Barton
Individual provider Active NPI Registered Nurse · Kennett, MO
NPI 1982178786 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1982178786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2012037207 (MO)
- Practice address
- 925 Hwy V V
Kennett, MO 63857 - Phone
- (573) 888-5925
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012037207 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolutely Amazing CDS Services LLC | Current | Accepting new patients | |
| Absolutely Amazing in Home LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012037207 | MO | Yes |
Addresses
Primary practice location
925 Hwy V V
Kennett, MO 63857
Mailing address
925 Hwy V V
Kennett, MO 63857
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.