LISA SHEA ROBERTS (NPI# 1043652803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043652803 |
Entity Type | Individual |
Full Name | LISA SHEA ROBERTS |
Credential | F.N.P. |
Practice Address |
55 E 100 N Suite 303 Logan UT 84321-4661 |
Mailing Address |
12965 W 61st Cir Arvada CO 80004-3981 |
Practice Telephone | 4357607078 |
Mailing Telephone | 4357607078 |
Enumeration Date | 2013-07-22 |
Last Update Date | 2019-06-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8689112-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
8689112-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639785884 | Lisa Ann Roberts | Registered Nurse | 10720 N Rodney Parham Rd Ste B5, Little Rock, AR 72212-4199 | 2020-09-22 |
1679079008 | Lisa R Roberts | Specialist | 61 Davis Ave Apt M, White Plains, NY 10605-1009 | 2018-04-04 |
1083148910 | Lisa Lembeck Roberts | Internal Medicine | 1500 S. Fairfield St, Chicago, IL 60608 | 2017-04-18 |
1528433380 | Lisa Roberts | Occupational Therapist | 5455 Glenridge Dr, Atlanta, GA 30342-4968 | 2015-12-04 |
1730510454 | Lisa Roberts | Counselor | 1440 Old Bethel Church Road, Monticello, KY 42633-1210 | 2013-12-05 |
1033385182 | Lisa Anne Roberts | Registered Nurse | 10654 E Ananea Ave, Mesa, AZ 85208-8738 | 2008-05-07 |
1932241395 | Lisa Northcutt Roberts | Counselor | 206 E. Main, Gustine, TX 76455 | 2007-02-13 |
1437298296 | Lisa A Roberts | Physician Assistant | 3555 Monte Villa Pkwy, Bothell, WA 98021-8982 | 2007-02-06 |
1831264464 | Lisa Roberts | Internal Medicine | 50 Park Terrace East, 7k, New York, NY 10034 | 2006-11-21 |
1467563700 | Lisa Beth Roberts | Optometrist | 29 Irvin Drive, Philipsburg, PA 16866 | 2006-08-31 |
Street Address |
55 E 100 N SUITE 303 |
City | LOGAN |
State | UT |
Zip Code | 84321-4661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790903003 | David R Baker | Clinical Medical Laboratory | 55 E 100 N, Suite 305, Logan, UT 84321-4661 | 2007-04-23 |
1912368549 | Sage Functional Medicine Center | Clinic/Center | 55 E 100 N, Suite 303, Logan, UT 84321-4661 | 2016-03-09 |
1306082409 | Victor Herman Nelson | Marriage & Family Therapist | 55 E 100 N, Suite 204, Logan, UT 84321-4661 | 2008-12-21 |
1235347071 | Katherine Ruggeri | Naturopath | 55 E 100 N, Suite 301, Logan, UT 84321-4661 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
Find all providers in zip 84321 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811519085 | Savannah Alder | Nurse Practitioner | 82 N 1250 E, Logan, UT 84321-4920 | 2020-05-11 |
1912537887 | Kathryn Grace Quezada | Nurse Practitioner | 165 E 100 N Apt E, Logan, UT 84321-4630 | 2020-01-20 |
1104395375 | William Ray Watkins Jr. | Nurse Practitioner | 214 Hanging Rock Hwy, Logan, WV 25601-5102 | 2018-11-17 |
1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
1265959704 | Benjamin Tackett | Nurse Practitioner | 140 Stollings Ave Ste 1, Logan, WV 25601-4035 | 2017-08-25 |
1295275717 | Jennifer Courtney Coleman | Nurse Practitioner | 25 Mae St, Logan, OH 43138-8965 | 2017-03-02 |
1194100701 | Kendall Gilbert Brown | Nurse Practitioner | 1225 Valley View Dr, Logan, UT 84321-4585 | 2015-07-24 |
1255731014 | Donalee Thomson | Nurse Practitioner | 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 | 2014-08-29 |
1265717250 | Martin L. Codispoti | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2011-10-21 |
1922242262 | Cynthia Lynn Hazelwood | Nurse Practitioner | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2009-04-30 |
Find all providers in LOGAN |
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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.