MS. LISA MARIE KOHLER (NPI# 1083699771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083699771 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE KOHLER |
| Other Name | MARIE E FREDERICK |
| Credential | ARNP |
| Practice Address |
1400 E Kincaid St Mount Vernon WA 98274-4127 |
| Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604286434 |
| Practice Fax Number | 3608484233 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP30007703 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007703 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LIWA | 0220034 | 01 |
| WA | BSWA | 3169FR | 01 |
| WA | 9652330 | 05 | |
| WA | 1042213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770711723 | Lisa Jo Kohler | Pathology | 85 N Summit St, Akron, OH 44308-1950 | 2009-06-29 |
| 1215184122 | Lisa Kohler | Physical Therapist | 4894 Shagbark Ct, Mason, OH 45040-5657 | 2008-08-21 |
| 1932133527 | Lisa M Kohler | Emergency Medicine | 3535 S I35e, Denton, TX 76205 | 2006-07-10 |
| 1699260729 | Lisa Kohler | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2018-07-01 |
| 1023096393 | Lisa Leader Kohler | Optometrist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2006-01-05 |
| Street Address |
1400 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508836 | James William Hartley | Nurse Practitioner | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-06-16 |
| 1750997433 | Katie Akane Kaestner | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2020-09-18 |
| 1376189555 | Shaneen Fernandez | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-21 |
| 1558906008 | Andrea Marie Phillips | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-07 |
| 1174097026 | Rebecca Anne Knight | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-14 |
| 1700359445 | Michael A Payne | Registered Nurse | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-05 |
| 1093298051 | Emily Jean Jette | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2018-09-14 |
| 1841647849 | Marla Oakes | Pharmacist | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-19 |
| 1508213794 | Catherine Schnabel | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-18 |
| 1649634437 | Carlyn King | Obstetrics & Gynecology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
| 1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
| 1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
| 1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
| 1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
| 1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.