Lisa Dianne McClure, LPN 880563

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN 880563 Issued in LA

Practice address

401 Rainbow Dr Unit 35
Pineville, LA 71360-6979

Phone

(318) 487-5191

Fax

(318) 487-5453

NPI assigned

Oct 18, 2007

Last updated

Feb 3, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Department of Health and Hospitals

  dba Behavioral Health Clinic of Central La (AD)

  • Addiction Medicine (Family Medicine) Physician
  • Pineville, LA
  • NPI 1306800289

  Licensed Practical Nurse

  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  dba John J. Hainkel Jr. Home and and Rehabilitation Center

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1992994578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAINBOW DR UNIT 35",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606979",
            "telephone_number": "318-487-5191",
            "fax_number": "318-487-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAINBOW DR UNIT 35",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606979",
            "telephone_number": "318-487-5191",
            "fax_number": "318-487-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "credential": "LPN 880563",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "LPN 880563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Horace May, M.D.
• Mickey Mayo, LCSW
• John Edward McBride
• Ashley Nicole McCall
• Cheryl McClinton
• Benjamin Scott McCurdy, PA
• Cayce McDaniel, LCSW, LAC, CCS
• Jessica McDaniel, MS, LDN, RD
• John T McDaniel, LCSW
• Rhonda Marie McDonald

• Licensed Practical Nurse in Pineville, LA
• Providers in Pineville, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.