LISA ANN WHITE (NPI# 1053386672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053386672 |
| Entity Type | Individual |
| Full Name | LISA ANN WHITE |
| Other Name | LISA ANN KIDD |
| Credential | MD |
| Practice Address |
8200 Dodge St Omaha NE 68114-4113 |
| Mailing Address |
4601 S Florence Ave Sioux Falls SD 57103-7693 |
| Practice Telephone | 6059555150 |
| Mailing Telephone | 6059511818 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
27321 | NE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 7503 | SD | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301063424 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891773 | Lisa R White | Occupational Therapy Assistant | 1425 Sheridan Ave, Niles, MI 49120-1949 | 2020-01-27 |
| 1538700232 | Lisa M White | Speech-Language Pathologist | 2130 Blair Blvd, Nashville, TN 37212-4902 | 2019-10-03 |
| 1578075594 | Lisa White | Hearing Instrument Specialist | 664 Kingsley Ave Ste 102, Orange Park, FL 32073 | 2017-10-31 |
| 1902321813 | Lisa Marie White | Nurse Practitioner | 1000 Columbus Ave Ste B, Lebanon, OH 45036-8330 | 2017-08-11 |
| 1891239794 | Lisa White | Acupuncturist | 60 Tortilla Dr., Namti Spa, Sedona, AZ 86336 | 2016-12-12 |
| 1114472917 | Lisa White | Counselor | 4385 W Stolley Park Rd, Alda, NE 68810-9798 | 2016-08-22 |
| 1407233075 | Lisa M White | Registered Nurse | 7103 E Washington Street Ext, Lot 33, Bath, NY 14810-9000 | 2015-05-02 |
| 1689090599 | Lisa Ann White | Occupational Therapy Assistant | 133 E Wilbeth Rd, Akron, OH 44301-2514 | 2014-03-16 |
| 1194034637 | Lisa Pearl White | Advanced Practice Midwife | 2819 Aristocrat Ln, Fayetteville, NC 28306-9526 | 2010-10-01 |
| 1922311638 | Lisa L. White | Registered Nurse | 1300 Gold Ave Sw, Albuquerque, NM 87102-2834 | 2010-07-22 |
| Street Address |
8200 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899067 | Nadia Abraham | Pediatrics | 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 | 2005-05-23 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1295332674 | Megan Elizabeth Ruffcorn | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-08 |
| 1275141939 | Adam Theodore Woroniecki | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-20 |
| 1609484807 | Ryan Adam Smith | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-14 |
| 1881212405 | Jessica Koraleski | Audiologist-Hearing Aid Fitter | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-09 |
| 1639796279 | Regina A. Wagner | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-30 |
| 1841817863 | Julie L. Johnsen | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-26 |
| 1932723749 | Kelsey C Spackler | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-08 |
| 1942823943 | Hilary S. King | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
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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.