LISA NICHOLSON (NPI# 1295934479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295934479 |
| Entity Type | Individual |
| Full Name | LISA NICHOLSON |
| Credential | NP |
| Practice Address |
200 Medical Plaza Suite 265 Los Angeles CA 90095 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107945066 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
17370 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF REGIS | 409782 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3291 Loma Vista Rd, Ventura, CA 930033099 | 8056526100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689820060 | Lisa Ann Nicholson | Occupational Therapist | 8992 Hemlock Road, Avoca, NY 14809 | 2008-08-17 |
| 1649314667 | Lisa Ann Nicholson | Pharmacy Technician | 13608 E 24th Ave, Spokane Valley, WA 99216-0441 | 2007-02-16 |
| 1548344161 | Lisa Ilene Nicholson | Acupuncturist | 2310 6th Ave, San Diego, CA 92101-1643 | 2006-10-24 |
| 1578004834 | Lisa Nicholson | Family Medicine | 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 | 2017-03-19 |
| 1013208917 | Lisa Nicholson | Counselor | 1984 Obispo Ave, Ste 1a, Signal Hill, CA 90755-1234 | 2011-04-26 |
| 1457655185 | Lisa M Nicholson | Case Manager/Care Coordinator | 212 Carmen Ln, Suite 201, Santa Maria, CA 93458-7769 | 2011-01-10 |
| 1689840399 | Lisa M Nicholson | Obstetrics & Gynecology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2008-05-02 |
| 1114045671 | Lisa L Nicholson | Psychologist | 29 Elm St, Brattleboro, VT 05301-6511 | 2007-03-26 |
| 1467561373 | Lisa Nicholson | Counselor | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2006-08-30 |
| Street Address |
200 MEDICAL PLAZA SUITE 265 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508897265 | Peter Szilagyi | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2006-07-05 |
| 1386156008 | Rebecca Signer | Genetic Counselor, MS | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2017-11-03 |
| 1437661279 | Jessica Sarah Violette Kianmahd | Genetic Counselor, MS | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2017-11-02 |
| 1417248428 | Charles Andrew Newcomer | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095 | 2011-04-25 |
| 1366646952 | Marlin Youssef Touma | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0462 | 2007-06-14 |
| 1790792869 | Charles H Song | Specialist | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-6814 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245623727 | Lindsay Danielle Goss | Nurse Practitioner | 4650 W Sunset Blvd # Ms 31, Los Angeles, CA 90027-6062 | 2015-03-09 |
| 1235470360 | Ria Bernardo | Nurse Practitioner | Ucla Ronald Reagan Medical Center 5 Nicu, 757 Westwood Plaza, Los Angeles, CA 90095-0001 | 2013-03-14 |
| 1497290035 | Clarissa Joyce Ledford | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-05 |
| 1043576077 | Talar Shant Papazian | Nurse Practitioner | 757 Westwood Plz, Nicu, Los Angeles, CA 90095-8358 | 2012-04-03 |
| 1518066042 | Isabell B Purdy | Nurse Practitioner | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-09-21 |
| 1447214929 | Amy Machelle Speirs | Nurse Practitioner | 757 Westwood Plz, Mattel Children's Hospital Nicu, Los Angeles, CA 90095-8358 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379445 | Brenna Day Esparza | Nurse Practitioner | 1975 4th St # 4012, San Francisco, CA 94143-2351 | 2018-03-16 |
| 1295076727 | Heidi Wilson-seger | Nurse Practitioner | 3020 Childrens Way # Mc5051, San Diego, CA 92123-4223 | 2013-03-07 |
| 1053604181 | Audrey Kim Moore | Nurse Practitioner | 725 Welch Rd., Palo Alto, CA 94304 | 2011-05-23 |
| 1184945727 | Lori Umanzio | Nurse Practitioner | 1150 N. Indian Ave, Palm Springs, CA 92262 | 2010-06-17 |
| 1396900874 | Susan B Johnson | Nurse Practitioner | 606 Fallen Leaf Cir, San Ramon, CA 94583-5308 | 2008-07-23 |
| 1477718161 | Debra Jean Hummel | Nurse Practitioner | Ucsf Childrens Hospital, 505 Parnassus Avenue, San Francisco, CA 94143-0001 | 2008-07-23 |
| 1184809733 | Rita Patel | Nurse Practitioner | 11235 Anderson St, Loma Linda, CA 92354-2803 | 2008-01-02 |
| 1548474067 | Gayle Anne Campbell | Nurse Practitioner | 10631 Escobar Dr, San Diego, CA 92124-2051 | 2007-05-10 |
| 1194946848 | Felicia Cecilia Harris | Nurse Practitioner | 1150 N Indian Cayon Dr, Paml Springs, CA 92263 | 2007-05-01 |
| 1669696662 | Tammie Miyagawa | Nurse Practitioner | 230 Meadow Vista Way, Encinitas, CA 92024-4320 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on LISA NICHOLSON.
| 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.