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

Lisa M Whiteaker, MD

Individual provider Dermatology Physician · NPI 1306811427

Lisa M Whiteaker, MD is a Dermatology in Cookeville, Tennessee. Graduated from Vanderbilt University School of Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
29
Trained at
Vanderbilt University School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 Perimeter Park Dr
Cookeville, TN 38501-0922
Phone: (931) 528-0002
Fax: (931) 528-1515
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD28108 (TN)

Record details

NPI number1306811427
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address1120 Perimeter Park Dr, Cookeville, TN 38501-0922

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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