MS. LISA KATHRYN DEBRAUWERE (NPI# 1164636700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636700 |
| Entity Type | Individual |
| Full Name | MS. LISA KATHRYN DEBRAUWERE |
| Credential | LMT |
| Practice Address |
4230 Lafayette St Ste C Massage Room Marianna FL 32446-8231 |
| Mailing Address |
2584 Governors Ct Marianna FL 32446-6399 |
| Practice Telephone | 8504822051 |
| Mailing Telephone | 8505263349 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA49208 | FL | Other Service Providers |
| Street Address |
4230 LAFAYETTE ST STE C MASSAGE ROOM |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-8231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689607327 | Bobbie H Core | Physical Therapist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2006-07-08 |
| 1922498799 | Glinda Whittaker | Physical Therapy Assistant | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2015-01-30 |
| 1679772339 | Lori E Young | Physical Therapy Assistant | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1386843043 | Kelly H Ziglar | Physical Therapist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1447459128 | Allison Stoutamire | Occupational Therapist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1942409610 | Felicia Lein | Speech-Language Pathologist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1699974360 | Amber L Goodman | Physical Therapist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1821297508 | Raymond G Gibson | Physical Therapy Assistant | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1225237985 | Jonathan N Kolmetz | Physical Therapist | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| 1972702652 | Susan Carlile | Physical Therapy Assistant | 4230 Lafayette St Ste C, Marianna, FL 32446-8231 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790732881 | Er Physician Group At Jackson Hospital | Specialist | 4298 5th Ave, Marianna, FL 32446-2173 | 2006-05-27 |
| 1396735858 | David Arthur Flick | Specialist | 4306 3rd Ave Ste B, Marianna, FL 32446-2121 | 2005-10-26 |
| 1790146140 | Marianna Imaging, LLC | Specialist | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2016-03-13 |
| 1558695668 | Steven Paul Surgnier | Specialist | 4230 Hospital Dr, Suite 210, Marianna, FL 32446-1934 | 2009-09-22 |
| 1225244395 | Pain Clinic of Northwest Fl, Inc | Specialist | 4284 Kelson Ave, Marianna, FL 32446 | 2007-05-15 |
| 1881815520 | Jackson County Hospital District | Specialist | 3051 6th St, Marianna, FL 32446-1933 | 2007-05-01 |
| 1962532655 | Marianna Ob Gyn Associates P A | Specialist | 4230 Hospital Dr, Suite 209, Marianna, FL 32446-1955 | 2007-03-06 |
| 1710089479 | Wensi Natasha West | Specialist | 4440 Lafayette St Ste K, Marianna, FL 32446-3411 | 2006-09-02 |
| 1578592499 | Joseph T Sherrel | Specialist | 4316 5th Ave, Marianna, FL 32446-2182 | 2006-07-02 |
| 1407895584 | Er Physician Group At Jackson Hospital | Specialist | 4298 5th Ave, Marianna, FL 32446-2173 | 2006-06-05 |
| Find all providers in MARIANNA | ||||
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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.