Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA GAIL SIDEBOTHAM LPN
NPI 1275437543
Licensed Practical Nurse in Fayetteville, NC

Q: What is Lisa Sidebotham's NPI number?

The NPI number for Lisa Sidebotham is 1275437543. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Q: What is Lisa Sidebotham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Sidebotham was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 October 07, 2026

2615 ELMHURST DR, FAYETTEVILLE, NC 28304(917) 900-2296 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Lisa Gail Sidebotham Lpn NPPES

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

LISA GAIL SIDEBOTHAM LPN (NPI 1275437543) is an individual licensed practical nurse in Fayetteville, North Carolina, licensed in North Carolina (93836) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1275437543

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLISA GAIL SIDEBOTHAMCredential: LPN

Location Address2615 ELMHURST DRFayetteville, NC 28304-5336

Mailing Address2615 Elmhurst DrFayetteville, NC 28304-5336 · (917) 900-2296

Phone(917) 900-2296

Sole ProprietorYes

Enumeration DateOctober 7, 2026

NPPES CertifiedOctober 7, 2026

✔ NPI 1275437543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NC · 93836

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2615 ELMHURST DR, Fayetteville, NC 28304

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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 Sidebotham's NPI number?

The NPI number for Lisa Sidebotham is 1275437543. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Lisa Sidebotham located?

Lisa Sidebotham practices at 2615 Elmhurst Dr, Fayetteville, NC 28304. The listed phone number is (917) 900-2296.

What is Lisa Sidebotham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Sidebotham was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.