MRS. LISA JENNIFER KING (NPI# 1104155605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104155605 |
| Entity Type | Individual |
| Full Name | MRS. LISA JENNIFER KING |
| Credential | CRNP |
| Practice Address |
70 Madison Rd Mansfield OH 44905-2831 |
| Mailing Address |
1025 S Trimble Rd Mansfield OH 44906-3427 |
| Practice Telephone | 4195899700 |
| Practice Fax Number | 4195892731 |
| Mailing Telephone | 4195899700 |
| Mailing Fax Number | 4195892103 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.11067-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083146021 | Lisa King | Speech-Language Pathologist | 90 Bowman Ct, Downingtown, PA 19335-1565 | 2017-03-29 |
| 1851753941 | Lisa King | Counselor | 1804 Cynthia Pl, Raleigh, NC 27610-3534 | 2016-03-28 |
| 1528427929 | Lisa King | Counselor | 3072 Wooded Way, Jeffersonville, IN 47130-5993 | 2016-02-15 |
| 1588022784 | Lisa King | Nurse Practitioner | 8220 County Road 34, Dadeville, AL 36853-4690 | 2016-02-02 |
| 1447622899 | Lisa King | Social Worker | 129 Hearthside Rd, Standish, ME 04084-5262 | 2015-10-26 |
| 1609246859 | Lisa King | Counselor | 400 Preston Blvd, Bossier City, LA 71111 | 2015-09-30 |
| 1144535337 | Lisa Marie King | Counselor | 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 | 2010-08-11 |
| 1528291135 | Lisa Kelly King | Registered Nurse | 8520 Valley Brook Dr, Raleigh, NC 27613-1127 | 2009-08-30 |
| 1720205859 | Lisa Marie King | Nurse's Aide | 120 Mendota St, Mansfield, OH 44903-2421 | 2007-04-19 |
| 1922056043 | Lisa A King | Obstetrics & Gynecology | 950 Scotland Dr, Desoto, TX 75115-2057 | 2006-05-04 |
| Street Address |
70 MADISON RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44905-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124128491 | Alfred Granson Jr. | Specialist | 70 Madison Rd, Mansfield, OH 44905-2831 | 2006-09-25 |
| 1598088528 | Alfred Granson Jr Md LLC | Internal Medicine | 70 Madison Rd, Mansfield, OH 44905-2831 | 2010-03-04 |
| 1033390349 | Angela Lynn Granson | Nurse Practitioner | 70 Madison Rd, Mansfield, OH 44905-2831 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1356699201 | Justin Clark Tolley | Home Health Aide | 1211 Keller Dr., Mansfield, OH 44905 | 2012-08-27 |
| 1891972683 | Theresa Ann Bonnette | Massage Therapist | 812 Park Avenue East, Mansfield, OH 44905 | 2008-01-24 |
| 1730673336 | Kristine King | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2018-06-18 |
| 1881030849 | Uma Ram | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2013-05-17 |
| 1982919288 | Monica Sue Medley | Driver | 516 Fleming Falls Rd, Mansfield, OH 44905-1207 | 2010-08-11 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| Find all providers in zip 44905 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047245 | Redempta Rhoda Mwikya | Nurse Practitioner | 4806 Spring Lake Pkwy, Mansfield, TX 76063-5593 | 2020-09-15 |
| 1194336644 | Linda Obika | Nurse Practitioner | 200 Bayfield Dr, Mansfield, TX 76063-8605 | 2020-08-10 |
| 1396385829 | Deanna Carol Welch | Nurse Practitioner | 1806 Clear Summit Ln, Mansfield, TX 76063-5368 | 2020-01-13 |
| 1720645641 | Slovakia Mcgruder | Nurse Practitioner | 101 W Dallas St, Mansfield, TX 76063-1940 | 2019-05-27 |
| 1700350238 | James Kenny | Nurse Practitioner | 23 Plantingfield Rd, Mansfield, MA 02048-2040 | 2019-01-17 |
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1497818058 | Patti A Sprang | Nurse Practitioner | 770 Balgreen Drive, Cornestone Ob Gyn Inc Suite 207, Mansfield, OH 44906 | 2006-12-18 |
| 1053358986 | Renee Rachelle Baril | Nurse Practitioner | 1021 Matlock Rd Ste 101, Mansfield, TX 76063-3443 | 2006-05-31 |
| 1316910318 | Lori Lee Perry | Nurse Practitioner | Mansfield Univeristy, Health Clinic, Mansfield, PA 16933 | 2006-02-09 |
| 1649240672 | Jennifer T Minton | Nurse Practitioner | 558 S Trimble Rd, Mansfield, OH 44906-3418 | 2006-01-24 |
| Find all providers in MANSFIELD | ||||
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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.