LISA KEELEY (NPI# 1013530005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013530005 |
| Entity Type | Individual |
| Full Name | LISA KEELEY |
| Credential | LVN |
| Practice Address |
8946 Madison Ave Fair Oaks CA 95628-4010 |
| Mailing Address |
4760 Sweeney Cir Rocklin CA 95677-2885 |
| Practice Telephone | 5303053384 |
| Mailing Telephone | 5303053384 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 705611 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LISAKEELEY | 05 | |
| CA | ALL OTHER INSURANCE | LISAKEELEY | 01 |
| Street Address |
8946 MADISON AVE |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255317145 | Clean & Sober Detox A California Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 8946 Madison Ave, Fair Oaks, CA 95628 | 2005-12-21 |
| 1144843889 | Bethany Bryant | Counselor | 8946 Madison Ave, Fair Oaks, CA 95628-4010 | 2020-05-28 |
| 1023631025 | Stuart J Perkins | Counselor | 8946 Madison Ave, Fair Oaks, CA 95628-4010 | 2020-05-26 |
| 1790308799 | Lisa Iwanyczko | Licensed Vocational Nurse | 8946 Madison Ave, Fair Oaks, CA 95628-4010 | 2020-05-26 |
| 1982844171 | Bunny Brown Lindsay | Counselor | 8946 Madison Ave, Fair Oaks, CA 95628-4010 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891195970 | Krystal Pettit | Licensed Vocational Nurse | 8534 Fairmont Way, Fair Oaks, CA 95628-2908 | 2014-08-26 |
| 1790308799 | Lisa Iwanyczko | Licensed Vocational Nurse | 8946 Madison Ave, Fair Oaks, CA 95628-4010 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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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.