LISA SMITH MAHONEY APRN-BC
NPI 1134211196
Nurse Practitioner - Family in Memphis, TN

Q: What is Lisa Mahoney's NPI number?

The NPI number for Lisa Mahoney is 1134211196. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Lisa Mahoney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mahoney was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 September 28, 2006

1030 JEFFERSON AVE., VA MEDICAL CENTER, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Smith Mahoney Aprn-bc NPPES

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

LISA SMITH MAHONEY APRN-BC (NPI 1134211196) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (6402) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1134211196

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA SMITH MAHONEYCredential: APRN-BC

Location Address1030 JEFFERSON AVE., VA MEDICAL CENTERMemphis, TN 38104

Mailing Address9047 Riverwood Farms PkwyCordova, TN 38016-1656 · (901) 523-8990

Phone(901) 523-8990

Sole ProprietorYes

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMarch 11, 2010

✔ NPI 1134211196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 6402

1030 JEFFERSON AVE., Memphis, TN 38104

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Other Identifiers 1

Medicare UPINP75372

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.

DR. JOHN WEST LEWIS III D.D.S.

Dentist (Prosthodontics)

1030 JEFFERSON AVE.
MEMPHIS, TN 38104

Shelby County (901) 523-8990

DR. ANTONIO MARTINEZ M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1030 JEFFERSON AVE.
MEMPHIS, TN 38104

Shelby County (901) 577-7390

DR. DONNA SWAIN M.D.

Radiology (Diagnostic Radiology)

1030 JEFFERSON AVE., RADIOLOGY DEPT.
MEMPHIS, TN 38104

Shelby County (901) 577-7260

MRS. MELVERDINE B. YOUNG-SMITH APRN

Nurse Practitioner (Family)

1030 JEFFERSON AVE.
MEMPHIS, TN 38104

Shelby County (901) 523-8990

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 Mahoney's NPI number?

The NPI number for Lisa Mahoney is 1134211196. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Lisa Mahoney located?

Lisa Mahoney practices at 1030 Jefferson Ave. VA Medical Center, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Lisa Mahoney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Mahoney was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.