LISA WALLACE (NPI# 1134575475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134575475 |
| Entity Type | Individual |
| Full Name | LISA WALLACE |
| Practice Address |
14 Farmer Rd Milton MA 02186-3743 |
| Practice Telephone | 6176155727 |
| Mailing Telephone | 6176155727 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368064 | Lisa Jean Wallace | Occupational Therapy Assistant | 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018 | 2020-05-28 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1710521968 | Lisa Anne Wallace | Counselor | 418 Barr Rd, Lexington, SC 29072-2363 | 2019-10-31 |
| 1598225930 | Lisa Buckner Wallace | Counselor | 3750 N Center St, Hickory, NC 28601-8089 | 2019-03-21 |
| 1235637182 | Lisa M. Wallace | Nurse Practitioner | 800 E Cheves St Ste 200, Florence, SC 29506-2651 | 2018-01-25 |
| 1720476641 | Lisa Wallace | Registered Nurse | 7601 Hospital Dr Ste 202, Sacramento, CA 95823-5408 | 2014-12-30 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1124002571 | Lisa M Wallace | Counselor | 1807 Capitol Ave, Suite 101 A, Cheyenne, WY 82001-4544 | 2005-11-30 |
| 1003423658 | Lisa Carol Wallace | Nurse Practitioner | 2418 180th St, Allerton, IA 50008-8715 | 2020-09-28 |
| 1992368872 | Lisa Wallace | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-04-17 |
| Street Address |
14 FARMER RD |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679818 | Larry Raymond Pierson | Counselor | 3993 Willis Way, Milton, FL 32583-5022 | 2020-08-11 |
| 1376168245 | Lisa Michelle Stirling | Counselor | 118 Sassamon Ave, Milton, MA 02186-5828 | 2020-06-16 |
| 1669097515 | Gina F Carrola | Counselor | 881 Arthur Dr Apt 7, Milton, WI 53563-3731 | 2020-06-16 |
| 1609418672 | Erin Kim Lorentzen | Counselor | 7224 Pacific Hwy E, Milton, WA 98354 | 2019-10-11 |
| 1598306243 | Kelly Jean Murray | Counselor | 7224 Pacific Hwy East, Milton, WA 98354 | 2019-10-03 |
| 1578025359 | Kiet Do | Counselor | 7224 Pacific Hwy. E, Milton, WA 98354 | 2019-04-02 |
| 1245798362 | Mary Beth Rimmer | Counselor | 26633 Zion Church Rd, Milton, DE 19968-2964 | 2019-03-07 |
| 1447735089 | Holly R Arland | Counselor | 6220 Little Bits Trl, Milton, FL 32583-2453 | 2018-09-29 |
| 1609398197 | Tracie Bernadette Hultgren | Counselor | 23 Villemaire Ln, Milton, VT 05468-3792 | 2017-07-17 |
| 1760910145 | Erin Steppan | Counselor | 1014 Fir St, Milton, WA 98354-8841 | 2017-05-30 |
| Find all providers in MILTON | ||||
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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.