LISA GAYLE LASSITER RN
NPI 1104832088
Nurse Practitioner in Montgomery, AL

Q: What is Lisa Lassiter's NPI number?

The NPI number for Lisa Lassiter is 1104832088. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Lisa Lassiter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Lassiter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 31, 2006

4212 CARMICHAEL CT N, MONTGOMERY, AL 36106(334) 213-8803(334) 213-8815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Gayle Lassiter Rn NPPES

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

LISA GAYLE LASSITER RN (NPI 1104832088) is an individual nurse practitioner in Montgomery, Alabama, licensed in Alabama (1-043709) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104832088

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA GAYLE LASSITERCredential: RN

Location Address4212 CARMICHAEL CT NMontgomery, AL 36106-3621

Mailing Address4212 Carmichael Ct NMontgomery, AL 36106-3621 · (334) 213-8803 · Fax (334) 213-8815

Phone(334) 213-8803

Fax(334) 213-8815

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104832088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-043709

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4212 CARMICHAEL CT N, Montgomery, AL 36106

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Other Providers at the Same Location NPPES 10

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

MARCELLE PRAETORIUS CRNP

Nurse Practitioner