MS. LISA R WHITE (NPI# 1174782957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174782957 |
| Entity Type | Individual |
| Full Name | MS. LISA R WHITE |
| Other Name | MS. LISA R WHITE |
| Credential | MA OTR/L |
| Practice Address |
15646 76th Pl N Maple Grove MN 55311-2677 |
| Practice Telephone | 7632299891 |
| Mailing Telephone | 7632299891 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
101179 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891773 | Lisa R White | Occupational Therapy Assistant | 1425 Sheridan Ave, Niles, MI 49120-1949 | 2020-01-27 |
| 1538700232 | Lisa M White | Speech-Language Pathologist | 2130 Blair Blvd, Nashville, TN 37212-4902 | 2019-10-03 |
| 1578075594 | Lisa White | Hearing Instrument Specialist | 664 Kingsley Ave Ste 102, Orange Park, FL 32073 | 2017-10-31 |
| 1902321813 | Lisa Marie White | Nurse Practitioner | 1000 Columbus Ave Ste B, Lebanon, OH 45036-8330 | 2017-08-11 |
| 1891239794 | Lisa White | Acupuncturist | 60 Tortilla Dr., Namti Spa, Sedona, AZ 86336 | 2016-12-12 |
| 1114472917 | Lisa White | Counselor | 4385 W Stolley Park Rd, Alda, NE 68810-9798 | 2016-08-22 |
| 1407233075 | Lisa M White | Registered Nurse | 7103 E Washington Street Ext, Lot 33, Bath, NY 14810-9000 | 2015-05-02 |
| 1689090599 | Lisa Ann White | Occupational Therapy Assistant | 133 E Wilbeth Rd, Akron, OH 44301-2514 | 2014-03-16 |
| 1194034637 | Lisa Pearl White | Advanced Practice Midwife | 2819 Aristocrat Ln, Fayetteville, NC 28306-9526 | 2010-10-01 |
| 1922311638 | Lisa L. White | Registered Nurse | 1300 Gold Ave Sw, Albuquerque, NM 87102-2834 | 2010-07-22 |
| Street Address |
15646 76TH PL N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023130416 | Sandra Marie Meyer | Occupational Therapist | 3800 American Blvd W, The Hartford, Bloomington, MN 55431-4420 | 2007-04-04 |
| 1588798623 | Allina Hospitals and Clinics | Occupational Therapist | 2830 Dorman Ave, Minneapolis, MN 55406-1836 | 2007-03-14 |
| 1811501299 | Alana Grabarkewitz | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-09-03 |
| 1235760752 | Kyle Kelley Buck | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-02-03 |
| 1811419120 | Tamara Roseanne Nascene | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-07-10 |
| 1992157978 | Allison Anne Bauer | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-01 |
| 1356468953 | Kelly Margaret Flanagan | Occupational Therapist | 800 East 28th Street, Minneapolis, MN 55407 | 2007-03-26 |
| 1881711893 | Anna Marie Braun | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2007-03-23 |
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on MS. LISA R WHITE.
| 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.