LISA SANFORD (NPI# 1285723908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285723908 |
| Entity Type | Individual |
| Full Name | LISA SANFORD |
| Credential | RPA |
| Practice Address |
1367 Washington Ave Suite 200 Albany NY 12206-1043 |
| Practice Telephone | 5184892666 |
| Practice Fax Number | 5184895933 |
| Mailing Telephone | 5184892666 |
| Mailing Fax Number | 5184895933 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 318824 | 01 |
| NY | BS NENY | 000471292001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326521725 | Lisa Denise Sanford | Military Health Care Provider | 2750 W Wigwam Ave Apt 2169, Las Vegas, NV 89123-6656 | 2018-09-11 |
| 1093150286 | Lisa Sanford | Doula | 849 Elk St, Franklin, PA 16323-1156 | 2013-05-01 |
| 1770885121 | Lisa Michelle Sanford | Nurse Practitioner | 618 County Road 5031, Booneville, MS 38829-9410 | 2010-11-17 |
| 1053531749 | Lisa J Sanford | Social Worker | 69 Bellevue Ave # 1, Haverhill, MA 01832-4710 | 2007-04-26 |
| 1225188196 | Lisa Ann Sanford | Nurse Practitioner | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2007-01-11 |
| 1265544670 | Lisa T Sanford | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-08-31 |
| Street Address |
1367 WASHINGTON AVE SUITE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174949 | Allen Laurence Carl | Orthopaedic Surgery | 1367 Washington Ave, Ste 200, Albany, NY 12206-1043 | 2005-06-15 |
| 1326678541 | Jared Paul Kaczynski | Registered Nurse | 1367 Washington Ave, Albany, NY 12206-1069 | 2020-01-16 |
| 1669034070 | Lauren Valenty | Physician Assistant | 1367 Washington Ave, Albany, NY 12206-1069 | 2019-07-05 |
| 1093295826 | Nicole Willard | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2018-08-21 |
| 1982078259 | Kelly Bartosik | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2015-11-24 |
| 1730585761 | Chelsea Mero | Physician Assistant | 1367 Washington Ave, Suite 200, Albany, NY 12206-1069 | 2014-11-19 |
| 1598186165 | Masha Senic | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-12-26 |
| 1952736373 | Kelly Molina | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-09-04 |
| 1831433044 | Albany Medical College | General Practice | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-11-15 |
| 1720337942 | Brian Mcneaney | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912486747 | Karen Duane | Physician Assistant | 48 New Scotland Ave, Albany, NY 12208 | 2018-08-13 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1356722714 | Megan Weitzel | Physician Assistant | 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 | 2015-06-11 |
| 1063899847 | Philip Rabadi | Physician Assistant | 27 Westlyn Ct, Albany, NY 12203-3463 | 2015-04-30 |
| 1467885459 | Heather Freeman | Physician Assistant | 1980 Western Ave, Apt 731, Albany, NY 12203-5051 | 2013-08-14 |
| 1861509531 | Tracy Dee Amsden | Physician Assistant | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2006-08-25 |
| 1124015748 | Dan C West | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
| 1750378329 | Sheri B Smith | Physician Assistant | 2311 Lake Park Drive, Albany, GA 31707 | 2005-09-29 |
| 1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
| 1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on LISA SANFORD.
| 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.