MS. LISA C BLACKWELL (NPI# 1225435373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225435373 |
| Entity Type | Individual |
| Full Name | MS. LISA C BLACKWELL |
| Practice Address |
400 Lake Ave Staten Island NY 10303-2629 |
| Practice Telephone | 7188163481 |
| Mailing Telephone | 7188163481 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790950707 | Lisa Blackwell | Occupational Therapist | 3006 W Oxford St, Phila, PA 19121-3512 | 2008-04-30 |
| 1891919494 | Lisa A. Blackwell | Internal Medicine | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2007-04-13 |
| Street Address |
400 LAKE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620394 | Milady Alejandra Zepeda | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2020-02-12 |
| 1457992067 | Taylor Christy Igneri | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2019-10-04 |
| 1255819884 | Angelica Garcia | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2018-08-06 |
| 1932574449 | Stacey Smith | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2015-12-09 |
| 1780091769 | Visiting Nurses Association | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2014-07-22 |
| 1073944757 | Elsie Dejesus | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1023449600 | Nicole Perry | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1720419401 | Michael David Geller | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1730514753 | Shawn M Richardson | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-09-10 |
| 1124464367 | Lateema Nashae Quick | Early Intervention Provider Agency | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932686441 | Kare4kids Inc | Case Management | 857 Olympia Blvd Unit B, Staten Island, NY 10305-3225 | 2018-07-26 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1043765332 | Aum's Behavior Analysis Services, L.L.C. | Case Management | 123 Mcveigh Ave Fl 1, Staten Island, NY 10314-6133 | 2016-08-17 |
| 1417341900 | Evangelia Josephine Cush | Case Management | 20 Pierpont Pl, Staten Island, NY 10314-5945 | 2015-03-24 |
| 1700183811 | Comprehensive Care Centers of Staten Island | Case Management | 1828 Hylan Blvd, Staten Island, NY 10305 | 2011-02-25 |
| 1578866141 | Blessed Hands Rehab Pt PC | Case Management | 1330a Rockland Ave, Staten Island, NY 10314-4944 | 2010-12-21 |
| 1023280708 | Si Behavioral Network, Inc. | Case Management | 4434 Amboy Road, 2nd Floor, Staten Island, NY 10312 | 2008-04-02 |
| 1528283959 | Community Health Action of Staten Island, Inc. | Case Management | 56 Bay St Fl 6, Staten Island, NY 10301-2563 | 2007-04-13 |
| 1801404660 | Personal Medical Consultant LLC | Case Management | 351 Douglas Rd, Staten Island, NY 10304-1501 | 2020-07-17 |
| 1275025348 | A Friendly Face Akademy Corp. | Case Management | 460 Midland Ave, Staten Island, NY 10306-5104 | 2018-06-04 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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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.