MISS LISA M DIMENNA (NPI# 1013158195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013158195 |
| Entity Type | Individual |
| Full Name | MISS LISA M DIMENNA |
| Credential | RN, NNP-BC |
| Practice Address |
1501 N Campbell Ave 3341 Tucson AZ 85724-5073 |
| Mailing Address |
1501 N Campbell Ave Po Box 245073 Tucson AZ 85724-5073 |
| Practice Telephone | 5206266627 |
| Practice Fax Number | 5206265009 |
| Mailing Telephone | 5206266627 |
| Mailing Fax Number | 5206265009 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN105827 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 N CAMPBELL AVE 3341 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85724-5073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
| 1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
| 1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
| 1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| 1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
| 1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
| 1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
| Find all providers in zip 85724 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317868 | Jamie Lee Friedel | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-01-30 |
| 1013085893 | Kathryn Sue Murray | Nurse Practitioner | 310 N Wilmot Rd, Tucson, AZ 85711-2618 | 2006-12-01 |
| 1750458568 | Lucy Marie Delgiorgio | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-29 |
| 1477628329 | Patricia Dell King | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-22 |
| 1013082700 | Karren Lefevre | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992946065 | Kelly Ann Woody | Nurse Practitioner | 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 | 2009-03-18 |
| 1588833537 | Nancy C Broc | Nurse Practitioner | 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 | 2008-02-25 |
| 1578703542 | Megan Marie Shea | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1598912289 | Susan Beaupre | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1174770853 | Susan Moore | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1336396019 | Karen Duran | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1235386913 | George Destefano | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1104073881 | Antoinette Stouvenel | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1902053689 | Karen Graves | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1770768855 | Neonatal Nurse Practitioners | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-08 |
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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.