LISA R STANLEY (NPI# 1033155726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155726 |
| Entity Type | Individual |
| Full Name | LISA R STANLEY |
| Credential | NP |
| Practice Address |
5001 Us Highway 30 W Ste D Fort Wayne IN 46818-9701 |
| Mailing Address |
7221 Engle Rd Ste 220 Fort Wayne IN 46804-2233 |
| Practice Telephone | 2604321568 |
| Practice Fax Number | 2604324969 |
| Mailing Telephone | 2604321568 |
| Mailing Fax Number | 2604324969 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001366 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200387770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122335 | Lisa Wilson Stanley | Pharmacist | 100 Gilbreath Ave, Fairhope, AL 36532-4998 | 2019-12-31 |
| 1053934398 | Lisa C Stanley | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-05-21 |
| 1316437114 | Lisa Marie Stanley | Occupational Therapist | 230 Division St, Manahawkin, NJ 08050-3130 | 2018-05-16 |
| 1942717053 | Lisa Marie Stanley | Licensed Practical Nurse | 200 E State St Fl 3, Alliance, OH 44601-4936 | 2018-01-10 |
| 1003213422 | Lisa Stanley | Nurse Practitioner | 821 Westwood Dr, Sedalia, MO 65301 | 2014-12-01 |
| 1417269341 | Lisa Dawn Stanley | Registered Nurse | 1755 Parr Ave, Dyersburg, TN 38024-2004 | 2010-07-08 |
| 1013196641 | Lisa M Stanley | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3443 | 2007-10-31 |
| Street Address |
5001 US HIGHWAY 30 W STE D |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250188 | Richard B Collins | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2005-07-22 |
| 1205190147 | Jonathan C Lee | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2012-06-26 |
| 1316203755 | Hisami Sarah Hayashi | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2012-04-10 |
| 1215220363 | Glenn Stephen Coats | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2011-05-24 |
| 1518286517 | Adam Kyle Haste | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2010-05-31 |
| 1518131077 | Andrew Joseph Norton | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2008-04-16 |
| 1487840872 | Edward Kwang Yi | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2007-09-19 |
| 1225222367 | Erik Jan Bekkers | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2007-08-31 |
| 1720271471 | Indu Rekha Meesa | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2007-08-24 |
| 1699970566 | Daniel George Branam | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1669081618 | Carly Ann Nahrwold | Nurse Practitioner | 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 | 2020-07-27 |
| 1932725942 | Health Essential LLC | Nurse Practitioner | 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 | 2020-06-25 |
| 1942824842 | Carissa Miller | Nurse Practitioner | 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 | 2020-06-05 |
| 1891329819 | Jasmine Monae Tubbs | Nurse Practitioner | 875 Petal Way, Fort Wayne, IN 46816-8900 | 2020-02-28 |
| 1235780362 | Elizabeth Rose Lichtsinn | Nurse Practitioner | 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 | 2019-09-20 |
| 1033676275 | Amanda Warner | Nurse Practitioner | 2229 Woods Rd, Fort Wayne, IN 46818-9539 | 2019-02-25 |
| 1669940714 | Brookelyn Agler | Nurse Practitioner | Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 | 2018-11-07 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on LISA R STANLEY.
| 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.