LISA VIVIENNE POLING (NPI# 1003050576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003050576 |
| Entity Type | Individual |
| Full Name | LISA VIVIENNE POLING |
| Other Name | LISA VIVIENNE MELNICK |
| Credential | NP |
| Practice Address |
1000 Chastain Rd Nw Kennesaw GA 30144-5588 |
| Practice Telephone | 6787972844 |
| Practice Fax Number | 6787972827 |
| Mailing Telephone | 6787972844 |
| Mailing Fax Number | 6787972827 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN067035NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606856 | Lisa Poling | Behavior Technician | 1320 Main St Ste 300, Columbia, SC 29201-3266 | 2017-08-29 |
| Street Address |
1000 CHASTAIN RD NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619180676 | Anne Nichols | Nurse Practitioner | 1000 Chastain Rd Nw, Mailstop 5200, Kennesaw, GA 30144-5588 | 2007-05-07 |
| 1518207612 | Kennesaw State University | Clinic/Center | 1000 Chastain Rd Nw, Md5200 House 52, Kennesaw, GA 30144-5588 | 2013-02-26 |
| 1346512357 | Lisa Marie Schulte | Internal Medicine | 1000 Chastain Rd Nw, Mailbox 0201, Kennesaw, GA 30144-5588 | 2012-02-07 |
| 1396057808 | Hiroki Kariya | Specialist/Technologist | 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 | 2010-07-13 |
| 1831426931 | Kennesaw State University Health Clinic | Clinic/Center | 1000 Chastain Rd Nw, House 52, Kennesaw, GA 30144-5588 | 2009-11-10 |
| 1881853026 | Susan Alice Ristau | Counselor | 1000 Chastain Rd Nw, Kennesaw Hall, Suite 2419, Kennesaw, GA 30144-5588 | 2008-06-03 |
| 1750579876 | Gwen Hatley Whiting | Student in an Organized Health Care Education/Training Program | 1000 Chastain Rd Nw, #5200 House #52, Kennesaw, GA 30144-5588 | 2007-10-15 |
| 1104019801 | Lisa Schlageter Stadalius | Nurse Practitioner | 1000 Chastain Rd Nw, 52, Kennesaw, GA 30144-5588 | 2007-08-26 |
| 1932312899 | Emma M. Guice | Nurse Practitioner | 1000 Chastain Rd Nw, House 52, Student Health Clinic, Kennesaw, GA 30144-5588 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344257 | Janis Rivas Franklin | Nurse Practitioner | 2030 Cockrell Pointe Nw, Kennesaw, GA 30152-4761 | 2020-07-27 |
| 1902423254 | Rebecca Lynn Ramsey | Nurse Practitioner | 3343 Hampreston Way Nw, Kennesaw, GA 30144-7441 | 2020-07-02 |
| 1609493352 | Joy Cheuvront | Nurse Practitioner | 4110 Pinemist Ln Nw, Kennesaw, GA 30144-6190 | 2020-06-29 |
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1952957748 | Victoria C Onunekwu | Nurse Practitioner | 2718 Kaley Ln Nw, Kennesaw, GA 30152-2691 | 2019-08-16 |
| 1417514639 | Shyann Monique Smith | Nurse Practitioner | 300 Chastain Center Blvd Nw, Kennesaw, GA 30144-5580 | 2019-05-22 |
| 1720555741 | Charlotte Chintu | Nurse Practitioner | 221 Tennis Court Ln Nw, Kennesaw, GA 30144-5028 | 2018-10-29 |
| 1720580376 | Amanda L Shafer | Nurse Practitioner | 3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225 | 2018-02-28 |
| 1427586031 | Odiri Akiri | Nurse Practitioner | 1864 Eveningside Way Nw, Kennesaw, GA 30152-4795 | 2017-05-25 |
| 1104358704 | Ruth Ola Osueke | Nurse Practitioner | 2106 Lindley Ln Nw, Kennesaw, GA 30144-5232 | 2017-04-01 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.