NPI 1215333075 · live from the CMS NPI Registry
Lisa Lavon Fields, APRN, PMHNP-BC, CPNP
Nurse Practitioner, Psych/Mental Health in Rogers, AR. National Provider Identifier 1215333075, active.
NPI record
| NPI | 1215333075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 5434 W Walsh Ln, Rogers, AR 72758 |
| Practice phone | 479-443-5575 |
| Mailing address | Po Box 2292, Rogers, AR 72757 |
| Enumerated | November 6, 2014 |
| Last updated | January 10, 2020 |
| Sole proprietor | Yes |
| Other names | Lisa Fields |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | AP126713 (TX) |
| Nurse Practitioner, Pediatrics | 363LP0200X | A004072 (AR) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | A004072 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.