DR. LISA BROOKE SHAFFER (NPI# 1033285572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033285572 |
| Entity Type | Individual |
| Full Name | DR. LISA BROOKE SHAFFER |
| Credential | PSYD |
| Practice Address |
1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 |
| Practice Telephone | 7028068618 |
| Practice Fax Number | 8005674105 |
| Mailing Telephone | 7028068618 |
| Mailing Fax Number | 8005674105 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0498 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100510783 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740604115 | Lisa Shaffer | Occupational Therapy Assistant | 619 Landsrush St, Sandusky, OH 44870-7509 | 2014-02-06 |
| 1760091821 | Lisa Shaffer | Technician | 12 Maple Hill Ave Ste 1, Petersburg, WV 26847-1547 | 2020-07-24 |
| 1346617743 | Lisa Shaffer | Occupational Therapy Assistant | 5358 E Baseline Rd, Mesa, AZ 85206-4716 | 2015-09-01 |
| 1013312388 | Lisa Mae Shaffer | Counselor | 500 W 10th St, Wilmington, DE 19801 | 2014-10-29 |
| 1568692606 | Lisa J Shaffer | Nurse Practitioner | 525 10th St Se, Cedar Rapids, IA 52403-1206 | 2009-07-23 |
| 1922279728 | Lisa Shaffer | Physical Therapist | 30 Tower Ct, Suite A, Gurnee, IL 60031-3322 | 2008-03-19 |
| 1467675504 | Lisa Ann Shaffer | Social Worker | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2007-04-10 |
| 1578511937 | Lisa G. Shaffer | Medical Genetics, Ph.D. Medical Genetics | 44 W 6th Ave, Suite 202, Spokane, WA 99204-2306 | 2006-05-05 |
| Street Address |
1489 W WARM SPRINGS RD STE 110 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866819 | Wilford Scott Biggs | Dentist | 1489 W Warm Springs Rd, Suite 125, Henderson, NV 89014-7635 | 2006-01-23 |
| 1619488350 | Caroline June Clark | Marriage & Family Therapist | 1489 W Warm Springs Rd, Henderson, NV 89014-7635 | 2017-10-20 |
| 1669893970 | Teri Belmont | Psychologist | 1489 W Warm Springs Rd, Suite 110, Henderson, NV 89014-7635 | 2014-01-05 |
| 1902115181 | Terrance J Shaw | Counselor | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2010-10-05 |
| 1346559531 | Montone White | Counselor | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2010-10-05 |
| 1275841710 | T-n-t Resilience Training, LLC | Community/Behavioral Health | 1489 W Warm Springs Rd, Ste 110, Henderson, NV 89014-7635 | 2010-09-17 |
| 1225359318 | W Scott Biggs Dds, Ltd | Dentist | 1489 W Warm Springs Rd, Suite 125, Henderson, NV 89014-7635 | 2010-06-12 |
| 1477881837 | Paulette Goldstein | Speech-Language Pathologist | 1489 W Warm Springs Rd, 110, Henderson, NV 89014-7635 | 2009-11-24 |
| 1245430446 | Isd Las Vegas LLC | Clinic/Center | 1489 W Warm Springs Rd, Ste 122, Henderson, NV 89014-7637 | 2007-07-25 |
| 1588683403 | Brian Haymore | Dentist | 1489 W Warm Springs Rd, #125, Henderson, NV 89014-7635 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546221 | Christeen Sonaly Silva | Psychologist | 981 Whitney Ranch Dr Apt 826, Henderson, NV 89014-2570 | 2020-07-26 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1497161392 | Janell Marie Mihelic | Psychologist | 660 Finch Island Ave, Henderson, NV 89015-6637 | 2014-07-11 |
| 1760769764 | Jennifer Dawn Karmely | Psychologist | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2011-11-04 |
| 1538459722 | Christina A Patterson | Psychologist | 2460 Paseo Verde Pkwy Ste 100, Henderson, NV 89074-7136 | 2011-04-09 |
| 1942449806 | Richard H Pratt Phd Ltd | Psychologist | 701 N Green Valley Pkwy # 293, Henderson, NV 89074-6177 | 2009-02-16 |
| 1710124193 | Nicole Josephine Williams-myers | Psychologist | 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 | 2009-01-07 |
| 1831376771 | Leah Wingeart | Psychologist | 1977 Via Firenze, Henderson, NV 89044-0256 | 2008-01-23 |
| 1972795680 | Comprehensive Psychological Services LLC | Psychologist | 1335 Bayleaf Terrace Ave, Henderson, NV 89014-8867 | 2007-08-16 |
| 1457565434 | Patricia Barrera | Psychologist | 701 N Green Valley Pkwy, Suite 200, Henderson, NV 89074-6177 | 2007-05-09 |
| Find all providers in HENDERSON | ||||
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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.