MS. LISA M MACKNAIR (NPI# 1033469648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033469648 |
| Entity Type | Individual |
| Full Name | MS. LISA M MACKNAIR |
| Other Name | LISA M SHUBERT |
| Credential | PA-C |
| Practice Address |
630 Plantation St Fl St12 Worcester MA 01605-2038 |
| Mailing Address |
460 Southbridge St Readymed Auburn MA 01501-2442 |
| Practice Telephone | 7742611356 |
| Mailing Telephone | 7742215135 |
| Mailing Fax Number | 7742215136 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4505 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 PLANTATION ST FL ST12 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922651405 | Ingrid Florencio Delinski | Physician Assistant | 78 Alvarado Ave, Worcester, MA 01604-1152 | 2019-07-23 |
| 1336709070 | Robin Landry | Physician Assistant | 2 Gage St Apt 2l, Worcester, MA 01605-3005 | 2019-06-15 |
| 1063645430 | Mary Sue Schaefer | Physician Assistant | 470 Pleasant St, Worcester, MA 01609-1823 | 2009-09-01 |
| 1962647065 | Shauna M Snitko | Physician Assistant | 85 Prescott Street Suite 304, Wayne B Glazier Md PC, Worcester, MA 01605-0000 | 2008-12-04 |
| 1629038260 | Karla A. Hanson | Physician Assistant | 475 Pleasant St Ste D, Worcester, MA 01609-1858 | 2006-03-27 |
| 1629545397 | Hicham Elias Maalouf | Physician Assistant | 26 Queen St, Worcester, MA 01610-2473 | 2018-10-31 |
| 1245754407 | Melissa Foster | Physician Assistant | 500 Lincoln St, Worcester, MA 01605-1916 | 2017-07-31 |
| 1578006540 | John J Buckley | Physician Assistant | 123 Summer St, 7350, Worcester, MA 01608-1216 | 2016-11-23 |
| 1124494661 | Nichole M Palomba | Physician Assistant | 26 Queen St, Worcester, MA 01610-2473 | 2015-08-19 |
| 1770985699 | Zoe Paleologos | Physician Assistant | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-09-23 |
| Find all providers in WORCESTER | ||||
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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.