LISA ANN MILES (NPI# 1093741886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093741886 |
| Entity Type | Individual |
| Full Name | LISA ANN MILES |
| Other Name | LISA ANN HERSCHLIP |
| Credential | CNM |
| Practice Address |
2900 Thomas Ave S Ste 100 Minneapolis MN 55416 |
| Mailing Address |
2001 Bloomington Ave Minneapolis MN 55404-3074 |
| Practice Telephone | 6129792276 |
| Mailing Telephone | 6127087562 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
R125294-1 | MN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3654 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 107D0MI | 01 |
| MN | MEDICA | 1093741886 | 01 |
| MN | HEALTHPARTNERS | HP 23925 | 01 |
| MN | PREFERRED ONE | 1093741886 | 01 |
| MN | PCHP | 1093741886 | 01 |
| MN | PATIENT CHOICE | 1093741886 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 Thomas Ave S, Apt 1511, Minneapolis, MN 554164477 | 6127087562 | 6513793111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225329998 | Lisa R Miles | Pharmacist | 305 Rainbow Ln, Gibbon, NE 68840-6292 | 2011-04-28 |
| 1164612966 | Lisa Miles | Occupational Therapist | 36 Lehman Dr, Canal Winchester, OH 43110-1006 | 2007-07-27 |
| 1548704554 | Lisa Ann Miles | Counselor | 635 W College St, Florence, AL 35630-5313 | 2016-12-09 |
| 1386191757 | Lisa Marie Miles | Counselor | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2016-09-02 |
| Street Address |
2900 THOMAS AVE S STE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1164540043 | Susan Sachs Steinberg | Nurse Practitioner | 410 Church Street S.e.-university of Minnesota, Mental Health Clinic-4th Floor, Minneapolis, MN 55455 | 2007-03-27 |
| 1528673779 | Hulda M Mosiori | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-14 |
| 1811507338 | Tiffany Sims | Nurse Practitioner | 100 Washington Ave S Ste 900, Minneapolis, MN 55401-2455 | 2020-08-10 |
| 1992355028 | Tolulope Emmanuel Adediwura | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-09-20 |
| 1235787409 | Tolu Okuneye | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1407400898 | Catherine Rachael Pearson | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-07-24 |
| 1659923688 | Kristin Alecia Verhoeven | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-10 |
| 1578029757 | Melodie Anne Kabanuk Dohm | Nurse Practitioner | 1315 E 24th St Ste 1, Minneapolis, MN 55404-3959 | 2019-02-13 |
| 1902370620 | Elinor Florence Chase-andresen | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on LISA ANN MILES.
| 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.