MRS. LISA PENA MILLER (NPI# 1093049173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093049173 |
| Entity Type | Individual |
| Full Name | MRS. LISA PENA MILLER |
| Credential | ANP-C |
| Practice Address |
4811 Ambassador Caffery Suite 401b Lafayette LA 70508 |
| Mailing Address |
Po Box 84460 Baton Rouge LA 70884-4460 |
| Practice Telephone | 3374704978 |
| Practice Fax Number | 3374704237 |
| Mailing Telephone | 2255260013 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
202991366 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303473 | Lisa Ann Miller | Pharmacist | 7937 W Poplar Dr, Mequon, WI 53097-3279 | 2020-10-15 |
| 1972140317 | Lisa Hilda Miller | Chore Provider | 3061 Bond St, Pahrump, NV 89061-9003 | 2019-12-04 |
| 1942841093 | Lisa Anne Miller | Marriage & Family Therapist | 4618 Noble Ave, Sherman Oaks, CA 91403-2437 | 2019-09-30 |
| 1245700970 | Lisa Acri Miller | Pharmacist | 1805 Rhoda Ave, Mount Joy, PA 17552-9535 | 2018-11-26 |
| 1356816888 | Lisa Shea Miller | Counselor | 4741 Gardenia Trce, Mount Olive, AL 35117-3461 | 2018-10-11 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| 1093221210 | Lisa Miller | Licensed Practical Nurse | 2048 Friar Tuck Cir, Adrian, MI 49221-2754 | 2017-12-26 |
| 1851833164 | Lisa Miller | Community Health Worker | 178 Hwy 93 Sunset Strip, Sunset, LA 70584 | 2016-11-17 |
| 1780070359 | Lisa C Miller | Registered Nurse | 1400 N Pecan Rd, Ponca City, OK 74604-4131 | 2015-04-10 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| Street Address |
4811 AMBASSADOR CAFFERY SUITE 401B |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144495334 | Acute Care Clinic | Nurse Practitioner | 205 Hermitage Dr, Thibodaux, LA 70301-2914 | 2008-04-28 |
| 1710440466 | Amanda Brocato | Nurse Practitioner | 1029 Capitol Ave, Crowley, LA 70526-3227 | 2019-04-10 |
| 1790130664 | Tiffini Lundy | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2016-04-28 |
| 1467781757 | Latasha L Johnigan | Nurse Practitioner | 6450 Louisiana Highway 1, Suite B, Innis, LA 70747-0889 | 2009-12-15 |
| 1699827600 | Celeste Tolar Mcknight | Nurse Practitioner | 118 Jjj Ln, Simmesport, LA 71369-2180 | 2007-01-18 |
| 1093797169 | John Joseph Kight | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-15 |
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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.