LISA RENEE SHIELDS (NPI# 1265699698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265699698 |
| Entity Type | Individual |
| Full Name | LISA RENEE SHIELDS |
| Other Name | LISA RENEE BANER |
| Credential | APNP-BC; GNP; MAN; |
| Practice Address |
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439 |
| Mailing Address |
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439-3113 |
| Practice Telephone | 9522833162 |
| Practice Fax Number | 8669917241 |
| Mailing Telephone | 9522833162 |
| Mailing Fax Number | 8669917241 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
334 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3410 East Schneider Avenue, East Suite 3, Menomonie, WI 54751 | 7152333888 | 7158382910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972807253 | Lisa Shields | Speech-Language Pathologist | 309 S Madison St, Evansville, WI 53536-1323 | 2010-12-31 |
| 1346452059 | Lisa Joyce Shields | Psychoanalyst | 1445 20th St, San Francisco, CA 94107-2821 | 2007-05-04 |
| 1104383942 | Lisa Shields | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2019-02-28 |
| 1780141028 | Lisa Shields | Acupuncturist | 330 Se 3rd St, Troutdale, OR 97060-2085 | 2019-02-22 |
| 1588683023 | Lisa Marie Shields | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2006-07-18 |
| Street Address |
7801 E BUSH LAKE RD STE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936216 | Kristen O Hansberry | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2005-07-20 |
| 1568925634 | Maggie Marie Prunty | Registered Nurse | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2019-04-07 |
| 1700393436 | Barbara Agbo | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2018-01-03 |
| 1992086383 | Anne Florence Wairimu Njenga | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2011-08-30 |
| 1417251935 | Ltc Professionals Pllc | Emergency Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2010-12-23 |
| 1083870646 | Elizabeth Bachorik | Nurse Practitioner | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-04 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1609040054 | Erin Phaedra Emerson Egginton | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2008-04-16 |
| 1588856546 | Marlene Bonilla Alicea | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2007-08-14 |
| 1225058670 | Sherief A Mikhail | Preventive Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083027536 | Mueni C Mualuko | Nurse Practitioner | 2220 Riverside Ave # Ms 26602g, Geriatrics Department Ms 26602g/ 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-06-03 |
| 1487937892 | Jonathan Deforest Olson | Nurse Practitioner | 30 W 22nd St, #204, Minneapolis, MN 55404-2428 | 2011-09-21 |
| 1386738995 | Jean F Wyman | Nurse Practitioner | Dept of Ob/gyn & Women's Health, 420 Delaware Street Se Mmc 395, Minneapolis, MN 55455 | 2006-10-03 |
| 1861593212 | Donna Mae Aske | Nurse Practitioner | 1 Veteran Drive, Minneapolis, MN 55417 | 2006-09-26 |
| 1326082991 | Patricia Anne Camillo | Nurse Practitioner | 2900 Thomas Ave S Apt 1903, Minneapolis, MN 55416-4583 | 2006-06-15 |
| 1730128505 | Sarah Louise Isakson | Nurse Practitioner | Mail Route 11414, 800 E. 28th Street, Minneapolis, MN 55407-3799 | 2006-06-06 |
| 1972121952 | Alicia Joy Minnis | Nurse Practitioner | 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 | 2020-07-07 |
| 1508485970 | Christina Bricout | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-04-15 |
| 1033746714 | Jennifer Voss | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-03-24 |
| 1972153443 | Marianne Loftus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-09-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55439 |
Please comment or provide details below to improve the information on LISA RENEE SHIELDS.
| 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.