MS. LISA M STEPHENSON (NPI# 1194909697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194909697 |
| Entity Type | Individual |
| Full Name | MS. LISA M STEPHENSON |
| Credential | MS, FNP |
| Practice Address |
1783 Route 9 Suite 202 Halfmoon NY 12065-2409 |
| Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
| Practice Telephone | 5183832366 |
| Practice Fax Number | 5183836022 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335220-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04015303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772901 | Lisa C Stephenson | Counselor | 6021 Morriss Rd, Suite 112, Flower Mound, TX 75028-3710 | 2005-12-29 |
| 1851652820 | Lisa R Stephenson | Nurse Practitioner | 650 Dickinson Rd, Chesterton, IN 46304 | 2012-06-06 |
| 1912215757 | Lisa M Stephenson | Pharmacist | 2103 Tw Alexander Dr, Morrisville, NC 27560-6812 | 2010-09-14 |
| Street Address |
1783 ROUTE 9 SUITE 202 |
| City | HALFMOON |
| State | NY |
| Zip Code | 12065-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831128206 | Eric Carl Schnakenberg | Family Medicine | 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | 2006-06-30 |
| 1003358920 | Community Care Physicians, PC | Audiologist | 1783 Route 9, Suite 206, Halfmoon, NY 12065-2409 | 2016-11-09 |
| 1538617030 | Samantha Marie Testa | Physician Assistant | 1783 Route 9, Suite #102, Halfmoon, NY 12065-2409 | 2016-09-14 |
| 1548610603 | Community Care Physicians, PC | Urology | 1783 Route 9, Suite 203, Halfmoon, NY 12065-2409 | 2016-06-20 |
| 1508227323 | Community Care Physicians, PC | Psychiatry & Neurology | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2016-03-08 |
| 1003257551 | Community Care Physicians, PC | Internal Medicine | 1783 Route 9, Suite 102, Halfmoon, NY 12065-2409 | 2013-07-12 |
| 1114271970 | Julia M Gross | Nurse Practitioner | 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | 2012-11-01 |
| 1538424361 | Kathleen Garbarino Bennett | Physician Assistant | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2012-07-09 |
| 1316219090 | Community Care Physicians, PC | Physical Therapist | 1783 Route 9, Suite 105, Halfmoon, NY 12065-2409 | 2012-01-27 |
| 1992077671 | Community Care Physicians, PC | Radiology | 1783 Route 9, Suite 104, Halfmoon, NY 12065-2409 | 2012-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353150 | Denise Fuoco | Nurse Practitioner | 1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 | 2007-05-10 |
| 1699325654 | Nicole Marie O'brien | Nurse Practitioner | 1520 Route 9, Halfmoon, NY 12065-5669 | 2019-09-11 |
| 1154975183 | Maegan Fucci | Nurse Practitioner | 1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 | 2019-07-29 |
| 1114271970 | Julia M Gross | Nurse Practitioner | 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | 2012-11-01 |
| 1982616611 | Lisa M Greenwald | Nurse Practitioner | 1783 Route 9, Suite 102, Halfmoon, NY 12065-2409 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.