LISA ANN WYLIE (NPI# 1003073842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003073842 |
| Entity Type | Individual |
| Full Name | LISA ANN WYLIE |
| Credential | R.D. |
| Practice Address |
300 E Warwick Dr Alma MI 48801-1014 |
| Mailing Address |
Po Box 188 Alma MI 48801-0188 |
| Practice Telephone | 9894663330 |
| Practice Fax Number | 9894632540 |
| Mailing Telephone | 9894663349 |
| Mailing Fax Number | 9894667454 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| Street Address |
300 E WARWICK DR |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892696 | John M Wegner | Physician Assistant | 300 E Warwick Dr, Alma, MI 48801-1014 | 2005-12-16 |
| 1205437688 | Caspian Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-11-03 |
| 1578170759 | John Rooy | Speech-Language Pathologist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-09-30 |
| 1245856277 | Omar Mouabbi | Pharmacist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-06-25 |
| 1588283659 | Ryan Christopher Rollin | Speech-Language Pathologist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-04-09 |
| 1740815547 | Timothy Burggraf | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1096 | 2020-03-12 |
| 1992338032 | Anita Markel | Occupational Therapist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-02-18 |
| 1811520943 | Jimson Tabiando Poquiz | Physical Medicine & Rehabilitation | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-02-18 |
| 1649837642 | Renee Ann Schott | Social Worker | 300 E Warwick Dr, Alma, MI 48801-1014 | 2019-05-24 |
| 1134681653 | Post-acute Physicians of Michigan Pllc | Physical Medicine & Rehabilitation | 300 E Warwick Dr, Alma, MI 48801-1014 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992936025 | Sue L Roscoe | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-08-06 |
| 1114155892 | Denise Sue Brown | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-07-01 |
| 1548498223 | Stephanie Dimercurio Allshouse | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-07-01 |
| 1740418516 | Terri Lynn Thelen | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-06-30 |
| 1720216591 | Kara Lynne Lynch | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-06-30 |
| 1891923660 | Elise Michelle Keaton | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2009-06-30 |
| 1063475515 | Laura A Hegenauer | Dietitian, Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811351 | Detroit Kidney Care, P.C. | Dietitian, Registered | 100 Kercheval Ave Ste C, Grosse Pointe Farms, MI 48236-3635 | 2020-08-11 |
| 1497395537 | Amy Wendt | Dietitian, Registered | 131 Vreeland Dr, Rochester Hills, MI 48309-1907 | 2020-01-07 |
| 1780993246 | Beth Ann Webb | Dietitian, Registered | 484 Cypress Rd, Rochester Hills, MI 48309-2225 | 2010-10-01 |
| 1275765737 | Glenda Bjornson | Dietitian, Registered | 23596 Clarewood St, Macomb, MI 48042-4828 | 2009-08-18 |
| 1841457330 | Ann S Lubeckyj | Dietitian, Registered | 6757 Main Street, Thumb Area Dialysis, Cass City, MI 48726 | 2008-05-21 |
| 1164689949 | Tina M Kennedy | Dietitian, Registered | 2522 W Wackerly St Ste B, Midland, MI 48640-6921 | 2008-05-20 |
| 1467634014 | Melissa Dawn Pieper | Dietitian, Registered | 12745 S. Saginaw Rd., Ste. 806-177, Grand Blanc, MI 48439-2437 | 2007-12-05 |
| 1073728754 | Dietitian for All L.L.C. | Dietitian, Registered | 22030 Park Street, Dearborn, MI 48124 | 2007-05-14 |
| 1578684189 | Mark Allen Perius | Dietitian, Registered | 50201 Jefferson Ave, Chesterfield, MI 48047-4303 | 2007-04-02 |
| 1184109969 | Sandra Kay Mcdonald-hangach | Dietitian, Registered | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2018-09-27 |
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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.