Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104155605 Individual Practitioner Female Practitioner

Lisa Jennifer King , CRNP

Nurse Practitioner • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Lisa King, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Mansfield, OH. Practice services are available at 70 MADISON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

70 Madison Rd

Mansfield, OH 449052831

Telephone 4195899700
Fax 4195892731
Associated Practice Facility / Clinic
🏢 Alfred Granson Jr Md Llc Facility NPI 1598088528

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
25 Specialists

Practicing in Mansfield, OH (4294 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH COA.11067-NP

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Angela Granson , CRNP

Nurse Practitioner - Adult Health

NPI 1033390349

Certified Registered Nurse Practitioner

NPI 1124128491

Doctor of Medicine (M.D.), LLC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2016

Registered at 70 MADISON RD, MANSFIELD, OH 449052831 (Tel: 4195899700)

📍
Updated Business Mailing Address March 08, 2016

Registered at 1025 S TRIMBLE RD, MANSFIELD, OH 449063427 (Tel: 4195899700)

👤
Provider Name / Credentials Updated March 08, 2016

Recorded as LISA KING, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Nurse Practitioner (License #COA.11067-NP in OH)

🟢
Initial NPI Registration & Enumeration December 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104155605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2009
Last Update: March 08, 2016
Sole Proprietor: Yes

Mailing Address

1025 S Trimble Rd

Mansfield, OH 449063427

Phone: 4195899700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.