MRS. LISA HAWTHORNE (NPI# 1275509416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275509416 |
| Entity Type | Individual |
| Full Name | MRS. LISA HAWTHORNE |
| Credential | A.N.P. |
| Practice Address |
260 Township Blvd Ste 20 Camillus NY 13031-1674 |
| Practice Telephone | 3157080091 |
| Practice Fax Number | 3157080194 |
| Mailing Telephone | 3157080190 |
| Mailing Fax Number | 3154883284 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302679-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02410204 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851589758 | Lisa Hawthorne | Nurse Anesthetist, Certified Registered | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2007-10-05 |
| Street Address |
260 TOWNSHIP BLVD STE 20 |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518946433 | Margaret Mary Bailey | Specialist | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-01-10 |
| 1851535116 | Christine Marie Granato | Internal Medicine | 260 Township Blvd, Suite 20, Camillus, NY 13031-2206 | 2009-04-29 |
| 1689837684 | Qun Xu | Nurse Practitioner | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2008-07-09 |
| 1568652261 | Thomas C Lee | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2007-07-28 |
| 1821177130 | Kelly Marie North | Physician Assistant | 260 Township Blvd, Ste 20, Camillus, NY 13031-1678 | 2006-11-06 |
| 1124032032 | Scott A Edison | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1114931037 | Theodore Koh | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1205840899 | John Sun | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-28 |
| 1467475715 | John A Dale | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| 1720001043 | James G Tifft | Internal Medicine | 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557614 | Jaclyn Marie Kerling | Nurse Practitioner | 5415 W Genesee St Ste 201, Camillus, NY 13031-2162 | 2017-09-17 |
| 1730618588 | Terry A Kelley | Nurse Practitioner | 5415 W Genesee St Ste 301, Camillus, NY 13031-2162 | 2017-06-06 |
| 1629054655 | Lori A Woods | Nurse Practitioner | 5639 W Genesee St, Camillus, NY 13031-1250 | 2005-12-21 |
| 1669451761 | Jean Marie Kelly | Nurse Practitioner | 436 Hinsdale Rd, Camillus, NY 13031-1648 | 2006-01-17 |
| 1811976160 | Lynn C Cahill-hoy | Nurse Practitioner | 436 Hinsdale Rd, Camillus, NY 13031-1648 | 2006-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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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.