LISA MCINNIS (NPI# 1205461688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205461688 |
| Entity Type | Individual |
| Full Name | LISA MCINNIS |
| Credential | RN |
| Practice Address |
15600 19 Mile Rd Clinton Township MI 48038-3502 |
| Practice Telephone | 5869253566 |
| Mailing Telephone | 5869253566 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
4704202207 | MI | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356527725 | Lisa Thibodeaux Mcinnis | Speech-Language Pathologist | 40 Blue Heron Ct, Sanford, NC 27332-6644 | 2008-01-16 |
| Street Address |
15600 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023199965 | Macomb Oakland Regional Center, Inc | Community/Behavioral Health | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2006-10-18 |
| 1841825338 | Karen Marie Koenigbauer | Social Worker | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2020-03-05 |
| 1255966818 | Emily Moll | Social Worker | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2020-03-04 |
| 1831722685 | Janelle Williams | Registered Nurse | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2020-02-20 |
| 1154966380 | Jamie Rachel Lesson | Technician, Other | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-11-12 |
| 1134764483 | Shalisa Chappell | Behavior Technician | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-11-11 |
| 1871138123 | Cheprie Simms | Behavior Technician | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-11-11 |
| 1255974747 | Madelyn Slamka | Behavior Technician | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-10-28 |
| 1154964641 | Ashley Taylor Laine | Social Worker | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-10-28 |
| 1407498249 | Ashley Danielle Wilson | Social Worker | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386904993 | Denise Marie Kaminski | Registered Nurse | 21885 Dunham Rd, Suite 1, Clinton Township, MI 48036-1030 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677869 | Linda Denise Harter | Registered Nurse | 7000 Eagle Rd, Davisburg, MI 48350-3200 | 2020-10-20 |
| 1396351458 | Nina Mattucci | Registered Nurse | 144 Rockway Dr, Linden, MI 48451-9140 | 2020-09-23 |
| 1679192124 | Edward Lawrence Demaagd | Registered Nurse | 4635 Lucas Dr Sw, Grandville, MI 49418-2293 | 2020-04-15 |
| 1255963161 | Ruth Hoogmoed | Registered Nurse | 6475 Bridlewood Ct Ne, Ada, MI 49301-9664 | 2020-02-08 |
| 1649815366 | Margaret Emily-pawlowski Bovee | Registered Nurse | 2444 Welsheimer Rd, Harbor Springs, MI 49740 | 2019-11-18 |
| 1356994099 | Wendy S Krause | Registered Nurse | 13266 Spence Rd, Three Rivers, MI 49093-9707 | 2019-07-22 |
| 1669037081 | Laura Esese | Registered Nurse | 3640 Brambleberry Dr Nw, Comstock Park, MI 49321-9796 | 2019-05-02 |
| 1306305925 | Paul J Klutts | Registered Nurse | 330 W Division St, Ishpeming, MI 49849-2340 | 2019-03-13 |
| 1598254344 | Jerri Dee Medved | Registered Nurse | 1327 Sherwood Forest Ct, Waterford, MI 48327-1677 | 2018-05-08 |
| 1053835736 | Great Lakes Adult Day Services, LLC | Registered Nurse | 19194 Augusta Ct, Livonia, MI 48152-4016 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on LISA MCINNIS.
| 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.