LISA MARIE VALDEZ (NPI# 1265679328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265679328 |
| Entity Type | Individual |
| Full Name | LISA MARIE VALDEZ |
| Credential | FNP |
| Practice Address |
3138 Farmstead Ct Grayson GA 30017-4273 |
| Practice Telephone | 4076190910 |
| Mailing Telephone | 4076190910 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN197799 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194113613 | Lisa Ann Valdez | Behavioral Analyst | 13400 Ne 20th St Ste 47, Bellevue, WA 98005-2026 | 2015-01-06 |
| 1588098719 | Lisa Marie Valdez | Dental Hygienist | 9030 W 94th Ave, Westminster, CO 80021-4390 | 2013-08-23 |
| 1598313660 | Lisa Valdez | Pharmacist | 5601 Saratoga Blvd, Corpus Christi, TX 78414-4109 | 2019-08-30 |
| 1295209401 | Lisa Marie Valdez | Counselor | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2019-01-22 |
| 1073811493 | Lisa Valdez | Counselor | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2011-03-09 |
| Street Address |
3138 FARMSTEAD CT |
| City | GRAYSON |
| State | GA |
| Zip Code | 30017-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
| 1811417132 | Yva Gauthier | Nurse Practitioner | 1620 Terry Mill Lane, Grayson, GA 30017 | 2017-06-27 |
| 1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
| 1902097579 | Zain Odeh Dabbas | Dentist | 2594 Loganviile Hwy, # 102, Grayson, GA 30017 | 2007-08-07 |
| 1619078276 | Primary Foot & Ankle Care | Podiatrist | 862 Amber Hill Ct, Grayson, GA 30017 | 2006-09-26 |
| 1700878170 | James Michael Long | Dentist | 2518 Loganville Hwy, Grayson, GA 30017 | 2005-08-22 |
| 1629556717 | Mason Moriah Earp | Physical Therapist | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-08-01 |
| 1811482201 | Matthew Ntomoo Lo | Physical Therapy Assistant | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-06-27 |
| 1144460668 | Alisa M Nelson-wade | Dentist | 2219 Loganville Hwy, Hwy 20, Grayson, GA 30017 | 2009-02-24 |
| 1003321662 | Grace Care Ambulance Transport, LLC | Ambulance | 516 Sosebee Farm Rd Unit 531, Grayson, GA 30017-0118 | 2017-12-05 |
| Find all providers in zip 30017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026110 | Maryellen Tussey | Nurse Practitioner | 81 Riverwood Dr, Grayson, KY 41143-1747 | 2020-09-06 |
| 1336761378 | Miriam Etienne | Nurse Practitioner | 1021 Reddy Farm Rd, Grayson, GA 30017-1754 | 2020-05-13 |
| 1942834908 | United Health and Wellness Services, LLC | Nurse Practitioner | 501 Starling View Cir, Grayson, GA 30017-7935 | 2020-02-28 |
| 1609409663 | Mary-ann Obiageli Aghadiuno | Nurse Practitioner | 2741 Stony Place Ct, Grayson, GA 30017-4266 | 2020-02-18 |
| 1932739554 | Leland Jay Sexton Jr. | Nurse Practitioner | 224 Greenbriar Dr, Grayson, KY 41143-1746 | 2020-01-23 |
| 1649742412 | Rozina Thobani | Nurse Practitioner | 2425 Trillium View Dr, Grayson, GA 30017-1457 | 2018-12-18 |
| 1245715903 | Modupe Agbeyomi | Nurse Practitioner | 2703 Trip Hollow Way, Grayson, GA 30017-7846 | 2018-09-28 |
| 1073091831 | Laqunita Smith | Nurse Practitioner | 2126 Leafmore Ct, Grayson, GA 30017-4328 | 2018-08-03 |
| 1013495282 | Larresia Hairston Williamson | Nurse Practitioner | 413 Silvertop Dr, Grayson, GA 30017-4192 | 2018-07-31 |
| 1265928766 | Nathana D Hall | Nurse Practitioner | 123 Womack Rd, Grayson, KY 41143-1237 | 2018-07-08 |
| Find all providers in GRAYSON | ||||
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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.