Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Dawn Theobald, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366136228

Lisa Dawn Theobald, PMHNP is a Nurse Practitioner in Salem, Oregon. Qualified in 2022, 4 years ago. Practices with R. Scott Babe MD LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2264 McGilchrist St SE Ste 100
Salem, OR 97302-1008
Phone: (503) 930-1812
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10006245 (OR)

Record details

NPI number1366136228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice R. Scott Babe Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salem