LISA PADERNA (NPI# 1154610723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154610723 |
| Entity Type | Individual |
| Full Name | LISA PADERNA |
| Credential | PH.D. |
| Practice Address |
James H. Quillen Vamc 116b Mountain Home TN 37684 |
| Mailing Address |
Po Box 4000, 116b James H. Quillen Vamc Mountain Home TN 37684 |
| Practice Telephone | 4239261171 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P2875 | TN | Behavioral Health & Social Service Providers |
| Street Address |
JAMES H. QUILLEN VAMC 116B |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689632465 | Laurie A Malyar | Dietitian, Registered | James H. Quillen Vamc, Nutrition and Food Services 120, Mountain Home, TN 37684 | 2006-05-02 |
| 1780782862 | Patrick Sloan | Clinical Neuropsychologist | James H. Quillen Vamc, Corner of Sidney and Lamont Streets, Mountain Home, TN 37684-4000 | 2006-09-20 |
| 1548371644 | Sharon Lea Lawing | Respiratory Therapist, Certified | James H. Quillen Vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-08-31 |
| 1811006414 | Fernando Ray Montgomery | Counselor | James H. Quillen Vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-08-29 |
| 1699882712 | Melissa Dawn Deprimo | Respiratory Therapist, Certified | James H. Quillen Vamc, Cornoro of Sidney and Lamont, Mountain Home, TN 37684 | 2006-08-24 |
| 1730292038 | Amanda Gail Mosley | Respiratory Therapist, Registered | James H. Quillen Vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-08-17 |
| 1801809140 | Debra Diane Abbott | Respiratory Therapist, Registered | James H. Quillen Vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-08-15 |
| 1952314668 | Sheila Joyce Frakes | Respiratory Therapist, Certified | James H. Quillen Vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-08-14 |
| 1053322669 | Danny Lee Cox | Respiratory Therapist, Registered | James H. Quillen Vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 | 2006-08-10 |
| 1962411991 | Diane C. Shelton | Counselor | James H. Quillen Vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973350 | Brandon J Griffin | Psychologist | 4281 Highway 201 S, Mountain Home, AR 72653-5543 | 2019-10-10 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1184726416 | Myra Qualls Elder | Psychologist | Psychology Service, 116b2, Mountain Home, TN 37684-4000 | 2006-09-05 |
| 1457368912 | Tammy J Berke | Psychologist | 899 Burnett Dr, Mountain Home, AR 72653 | 2006-08-01 |
| 1326079914 | Kevin J Sharkey | Psychologist | Psychology Service (116b), J.h. Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2006-07-05 |
| 1811976731 | Nancy Ann Bunting | Psychologist | 103 S Main, Ste 9, Mountain Home, AR 72653 | 2006-01-10 |
| 1992331037 | Bridget Reeves Jeter | Psychologist | Dogwood Avenue, Blg 160, Mountain Home, TN 37684 | 2020-03-20 |
| 1255805859 | Courtney Lilly Cook | Psychologist | Lamont St & Veterans Way, Bldg 160, Mountain Home, TN 37684 | 2019-01-16 |
| 1740764919 | Heather Zapor | Psychologist | Corner of Lamont & Veterans Way, Mountain Home, TN 37684 | 2018-09-24 |
| 1083050959 | Katherine Kuhlken Mason | Psychologist | 809 Lamont St, Mountain Home, TN 37684 | 2013-05-17 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on LISA PADERNA.
| 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.