LISA MARIE BURGESS (NPI# 1073132502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073132502 |
| Entity Type | Individual |
| Full Name | LISA MARIE BURGESS |
| Credential | FNP-C |
| Practice Address |
7 S Alliance Dr Ste 202a Goose Creek SC 29445-7269 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8433760670 |
| Practice Fax Number | 8433760669 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23847 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP6925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396933735 | Lisa Ann Burgess | Psychiatry & Neurology | 3514 Sharonwood Rd, Apt 2c, Laurel, MD 20724-2984 | 2007-10-11 |
| 1093914517 | Lisa Dawn Burgess | Licensed Practical Nurse | 136 Maple St, Ashland, OH 44805-3264 | 2007-07-14 |
| 1871063487 | Lisa Burgess | Marriage & Family Therapist | 41690 Enterprise Cir N Ste 201, Temecula, CA 92590-5627 | 2018-11-27 |
| 1114388196 | Lisa Burgess | Occupational Therapy Assistant | 38777 6 Mile Rd Ste 209, Livonia, MI 48152-2660 | 2016-03-17 |
| 1942549878 | Lisa Burgess | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-02-13 |
| 1184740144 | Lisa M Burgess | Psychologist | 7227 N 16th St, Suite 219, Phoenix, AZ 85020-5251 | 2007-03-21 |
| 1578583449 | Lisa Burgess | Anesthesiology | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-20 |
| Street Address |
7 S ALLIANCE DR STE 202A |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-7269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170612 | Marc Dean New | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445 | 2005-11-09 |
| 1730587262 | Kelsey N Steedly | Physician Assistant | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445-7269 | 2014-12-16 |
| 1871911867 | Brett Daniel Van Leer-greenberg | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445-7269 | 2014-04-07 |
| 1760527576 | Aaron Benjamin Domm | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445-7269 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561182 | Desiree Ballesteros | Nurse Practitioner | 430 Indigo Rd, Goose Creek, SC 29445-5727 | 2019-07-28 |
| 1376008243 | Robin Infinger | Nurse Practitioner | 156 Evergreen Magnolia Ave, Goose Creek, SC 29445-3642 | 2019-02-05 |
| 1598117764 | Jennifer K. Swiler | Nurse Practitioner | 7 S Alliance Dr Ste 211-b, Goose Creek, SC 29445-7269 | 2016-07-12 |
| 1174602916 | Amanda B Mcfann | Nurse Practitioner | 110 Nnptc Cir Bldg 2418, Goose Creek, SC 29445-6314 | 2006-11-03 |
| 1477163905 | Jarelle Harrison | Nurse Practitioner | 118 Springhall Dr Ste B, Goose Creek, SC 29445-5360 | 2020-08-10 |
| 1528694155 | Julia Murphy-callhan | Nurse Practitioner | 588 Old Mount Holly Rd, Goose Creek, SC 29445-2814 | 2020-03-16 |
| 1457993677 | Ashley T. Wilson | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2019-10-09 |
| 1043873888 | Michael W. Phillips | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7269 | 2019-04-17 |
| 1497272421 | Jayme Leigh Mason | Nurse Practitioner | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7269 | 2017-08-30 |
| 1801334412 | Diane N. Mcneil | Nurse Practitioner | 119 Springhall Dr, Goose Creek, SC 29445-5368 | 2017-02-02 |
| Find all providers in GOOSE CREEK | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on LISA MARIE BURGESS.
| 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.