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LISA MECHELLE ETHRIDGE
NPI 1700776911
Specialist in Lisman, AL

Active since July 08, 2025

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Mechelle Ethridge NPPES

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

LISA MECHELLE ETHRIDGE (NPI 1700776911) is an individual specialist in Lisman, Alabama and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1700776911
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA MECHELLE ETHRIDGE
Location AddressPO BOX 1Lisman, AL 36912-0001
Mailing AddressPo Box 1Lisman, AL 36912-0001 · (205) 457-3069
Phone(205) 457-3069
Sole ProprietorYes
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1700776911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
PO BOX 1, Lisman, AL 36912
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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 Ethridge's NPI number?

The NPI number for Lisa Ethridge is 1700776911. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Lisa Ethridge located?

Lisa Ethridge practices at PO Box 1, Lisman, AL 36912. The listed phone number is (205) 457-3069.

What is Lisa Ethridge's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Ethridge was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.