LISA MARIE SHEPARD (NPI# 1164797759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164797759 |
| Entity Type | Individual |
| Full Name | LISA MARIE SHEPARD |
| Credential | LMP |
| Practice Address |
21245 110th Ave Se Kent WA 98031-2145 |
| Practice Telephone | 2538868578 |
| Mailing Telephone | 2538868578 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60204242 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932493251 | Lisa S Shepard | Counselor | 11111 Hall Road #303, Utica, MI 48317-5726 | 2011-06-03 |
| 1427134212 | Lisa Shepard | Registered Nurse | 609 S Clearview Ave, Mesa, AZ 85208-1922 | 2006-10-27 |
| 1063420545 | Lisa J Shepard | Physical Therapist | 1294 West 6th Street, Suite 101, San Pedro, CA 90732-2997 | 2006-08-03 |
| 1013393354 | Lisa Shepard | Counselor | 1965 Live Oak Blvd, Suite A, Yuba City, CA 95991-8850 | 2015-08-10 |
| 1871864686 | Lisa Shepard | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-01-25 |
| 1790910842 | Lisa M Shepard | Counselor | 1553 Stewartstown Rd, Morgantown, WV 26505-2947 | 2009-05-19 |
| Street Address |
21245 110TH AVE SE |
| City | KENT |
| State | WA |
| Zip Code | 98031-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| 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 |
|---|---|---|---|---|
| 1366982761 | Estrellita Wagner- Villasenor | Specialist | 21413 111th Ct Se, Kent, WA 98031-2190 | 2017-03-03 |
| 1497125116 | Mariah Rock | Specialist | 12911 Southeast Kent Kangley Road, Kent, WA 98030 | 2015-10-07 |
| 1508251620 | Lori Michele Williams | Specialist | 524 W Meeker St Ste 4, Kent, WA 98032-5766 | 2015-04-06 |
| 1982012266 | Bed Bug Burners, LLC | Specialist | 330 Tallmadge Rd., Unit F2, Kent, OH 44240 | 2014-07-30 |
| 1922433515 | Ernest Fatta | Specialist | 23501 112th Ave Se, M102, Kent, WA 98031-3409 | 2013-09-13 |
| 1598018269 | Leslie Wiersum | Specialist | 12033 Se 256th Street, Kent, WA 98030 | 2012-10-18 |
| 1528318862 | Mary Margaret Altena | Specialist | 4014 S 270th St, Kent, WA 98032-7139 | 2012-09-13 |
| 1629352752 | Brianna Dean | Specialist | 20430 95th Ave S, Kent, WA 98031-1464 | 2011-10-07 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1649571944 | Jeong Bum Lee | Specialist | 1048 W James St Ste 104, Kent, WA 98032-4600 | 2010-11-03 |
| Find all providers in KENT | ||||
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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.