LISA CARR (NPI# 1265778211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265778211 |
| Entity Type | Individual |
| Full Name | LISA CARR |
| Credential | NURSE |
| Practice Address |
11905 W Cocopah Cir Avondale AZ 85323-6292 |
| Mailing Address |
11864 W Hadley St Avondale AZ 85323-9104 |
| Practice Telephone | 6234786295 |
| Mailing Telephone | 6023361070 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP047347 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1437556859 | Lisa Carr | Pharmacist | 113 Ambleside Dr, Leesburg, GA 31763-5346 | 2014-12-01 |
| 1730517483 | Lisa Isabell Carr | Specialist | 2105 Mastin Lake Rd Nw Ste J, Huntsville, AL 35810-2861 | 2013-10-16 |
| 1033439021 | Lisa M Carr | Behavioral Analyst | 17 Seven Oaks Cir, Madison, NJ 07940-1313 | 2010-06-02 |
| 1629608070 | Lisa Renea Carr | Dental Assistant | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2020-01-23 |
| 1760993240 | Lisa Carr | Speech-Language Pathologist | 12708 Riata Vista Cir, Austin, TX 78727-7167 | 2017-10-23 |
| 1639496888 | Lisa Ann Carr | Speech-Language Pathologist | 226 S. Woods Mill Rd., Suite 37w, Chesterfield, MO 63017-3442 | 2010-04-28 |
| 1225353345 | Lisa R Carr | Social Worker | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2010-03-31 |
| 1376693259 | Lisa Elaine Carr | Speech-Language Pathologist | 704 Longmire Rd, Suite 101, Conroe, TX 77304-1850 | 2007-01-11 |
| 1336259480 | Lisa Sibert Carr | Internal Medicine | 151 Everett Avenue, Chelsea Healthcare Center, Chelsea, MA 02150-1807 | 2006-08-30 |
| Street Address |
11905 W COCOPAH CIR |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038133 | Samantha Helen Chapin | Registered Nurse | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2016-04-21 |
| 1790193753 | Angelina Maria Garcia | Speech-Language Pathologist | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2014-07-23 |
| 1225459142 | Tracy Kosednar | Registered Nurse | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1376098350 | Sheila Lee Villalobos | Licensed Practical Nurse | 1700 N 103rd Ave Apt 1076, Avondale, AZ 85392-4693 | 2016-08-19 |
| 1427484732 | Jacqueline Marie Sanchez | Licensed Practical Nurse | 10810 W Encanto Blvd, Avondale, AZ 85392-5491 | 2013-09-18 |
| 1720312085 | Milinda Nina Preciado | Licensed Practical Nurse | 4010 N 126th Ave, Avondale, AZ 85392-6307 | 2009-09-18 |
| 1891973202 | Aracelia Dominguez | Licensed Practical Nurse | 2609 N 109th Ave, Avondale, AZ 85392-5903 | 2008-02-07 |
| 1326227554 | Linda Hack Ragab | Licensed Practical Nurse | 1917 N 124th Dr, Avondale, AZ 85392-6597 | 2007-10-24 |
| 1073792214 | Shareece Castro | Licensed Practical Nurse | 2513 N 128th Dr, Avondale, AZ 85392-7124 | 2007-10-24 |
| 1821115478 | Kathryn Thompson-mckinney | Licensed Practical Nurse | 12374 W Hopi St, Avondale, AZ 85323-3127 | 2007-03-26 |
| 1427682038 | Hillary Ann Blank | Licensed Practical Nurse | 1481 N Eliseo Felix Jr Way, Avondale, AZ 85323-1216 | 2020-02-24 |
| 1750889911 | Amber Deonne Bugs | Licensed Practical Nurse | 1406 N Central Ave, Avondale, AZ 85323-1312 | 2018-01-23 |
| Find all providers in AVONDALE | ||||
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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.