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LISA WHITEAKER MD
NPI 1043895659
Clinic/Center - Medical Specialty in Cookeville, TN

Active since March 15, 2021CLIA 44D0974215 · Microscopy
1120 PERIMETER PARK DR, COOKEVILLE, TN 38501(931) 528-0002 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Whiteaker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA WHITEAKER MD (NPI 1043895659) is a healthcare organization registered as a medical specialty in Cookeville, Tennessee and active in the NPI registry since March 2021. The organization holds a CLIA Microscopy certificate valid through May 31, 2028 and lists Lisa M Whiteaker, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1043895659
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLISA WHITEAKER MD
Location Address1120 PERIMETER PARK DRCookeville, TN 38501-0922
Mailing Address1120 Perimeter Park DrCookeville, TN 38501-0922 · (931) 528-0002
Phone(931) 528-0002
Organization SubpartNo
Authorized OfficialLisa M WhiteakerMedical Doctor · (931) 528-0002
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1043895659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1120 PERIMETER PARK DR, Cookeville, TN 38501
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0974215

Lisa M Whiteaker MD · Cookeville, TN
Active · expires May 31, 2028
CLIA Number44D0974215
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Lisa M. Whiteaker
Laboratory Phone(931) 528-0002
Laboratory LocationLisa M Whiteaker MD1120 Perimeter Park Dr, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA M WHITEAKER MD
Dermatology
1120 PERIMETER PARK DR
COOKEVILLE, TN 38501
Putnam County (931) 528-0002
SHELBY WATKINS PA-C
Physician Assistant
1120 PERIMETER PARK DR
COOKEVILLE, TN 38501
Putnam County (931) 322-5157
KRISTI A DONEGAN P.A.
Physician Assistant
1120 PERIMETER PARK DR
COOKEVILLE, TN 38501
Putnam County (931) 528-0002
MCKENZIE BROOKE DAVIS PA-C
Physician Assistant (Medical)
1120 PERIMETER PARK DR
COOKEVILLE, TN 38501
Putnam County (931) 528-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Whiteaker MD's NPI number?

The NPI number for Lisa Whiteaker MD is 1043895659. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Lisa Whiteaker MD located?

Lisa Whiteaker MD is located at 1120 Perimeter Park Dr, Cookeville, TN 38501. The listed phone number is (931) 528-0002.

What is Lisa Whiteaker MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Lisa Whiteaker MD hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0974215) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lisa Whiteaker MD was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.