MRS. LISA A STANFORD (NPI# 1194244228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194244228 |
| Entity Type | Individual |
| Full Name | MRS. LISA A STANFORD |
| Credential | FNP-BC |
| Practice Address |
10301 Hagen Ranch Rd Ste D720 Boynton Beach FL 33437-3777 |
| Mailing Address |
1019 Larch Way Wellington FL 33414-5101 |
| Practice Telephone | 5612640802 |
| Mailing Telephone | 5613195040 |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9179520 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10301 Hagen Ranch Rd Ste D720, Boynton Beach, FL 334373777 | 5612640802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063868842 | Lisa Stanford | Technician, Other | 1408 Redwood St, Lansing, MI 48915-1537 | 2016-05-10 |
| 1194838268 | Lisa D. Stanford | Clinical Neuropsychologist | 2033 Milwaukee Ave, Ste 334, Riverwoods, IL 60015-3581 | 2006-08-16 |
| 1649828385 | Lisa Stanford | Counselor | 304 15th St Ne Ste B, Canton, OH 44714-2523 | 2019-08-27 |
| Street Address |
10301 HAGEN RANCH RD STE D720 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456023 | Richard Sylvester Archie | Nurse Practitioner | 8411 Grand Prix Ln, Boynton Beach, FL 33472-2735 | 2020-11-01 |
| 1063029296 | Sherline Constant Philogene | Nurse Practitioner | 9845 Cobblestone Creek Dr, Boynton Beach, FL 33472-4453 | 2020-10-01 |
| 1336754084 | Jade Cyrus | Nurse Practitioner | 9267 Grand Prix Ln, Boynton Beach, FL 33472-2782 | 2020-09-10 |
| 1376156927 | Zamy Garzon Rozo | Nurse Practitioner | 1609 Cetona Dr, Boynton Beach, FL 33436-1105 | 2020-08-24 |
| 1568072742 | Nedgie Joseph Surlin | Nurse Practitioner | 11211 S Military Trl Apt 412, Boynton Beach, FL 33436-7228 | 2020-08-03 |
| 1578181368 | Yunaisis Medina | Nurse Practitioner | 6669 Boynton Beach Blvd, Boynton Beach, FL 33437-3527 | 2020-07-08 |
| 1972127801 | Michelle Galassi | Nurse Practitioner | 10828 Madison Dr, Boynton Beach, FL 33437-3950 | 2020-06-06 |
| 1407488034 | Theresa Lynn Paduda | Nurse Practitioner | 2828 S Seacrest Blvd Ste 102, Boynton Beach, FL 33435-7944 | 2020-02-11 |
| 1073153318 | Chelsea Sarah Wright | Nurse Practitioner | 15 Country Lake Cir, Boynton Beach, FL 33436-6200 | 2020-01-15 |
| 1649818683 | Maria Catherine Flora | Nurse Practitioner | 1551 Stonehaven Dr Apt 4, Boynton Beach, FL 33436-6512 | 2019-12-19 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
Please comment or provide details below to improve the information on MRS. LISA A STANFORD.
| 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.