MS. LISA SMITH BASS


Address: 1 Veterans Dr, 111c, Minneapolis, MN 55417-2309
Phone: 6124673647

MS. LISA SMITH BASS (NPI# 1346251618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346251618
Entity Type Individual
Full Name MS. LISA SMITH BASS
Credential NP
Practice Address 1 Veterans Dr
111c
Minneapolis
MN 55417-2309
Mailing Address 5352 Hampshire Dr
Minneapolis
MN 55419-1433
Practice Telephone 6124673647
Practice Fax Number 6127275668
Mailing Telephone 6128246129
Enumeration Date 2006-08-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
101504-9 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA BASS

NPI Name Taxonomy Address Enumeration
1144758947 Lisa Rae Bass Licensed Practical Nurse 60 Court Sq, Erin, TN 37061-4166 2017-05-24
1649751785 Lisa M Bass Health Educator 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 2018-08-27
1275960759 Lisa Bass Dietary Manager 522 Mill Rd, Clarksville, AR 72830-8511 2013-09-30
1538305636 Lisa Heller Bass Marriage & Family Therapist 2327 Lime Kiln Ln, Suite A, Louisville, KY 40222-3422 2008-12-20

Office Location

Street Address 1 VETERANS DR
111C
City MINNEAPOLIS
State MN
Zip Code 55417-2309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023012762 Peter T. Mitchell Nurse Practitioner 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 2005-06-10
1114527926 Phuong Duy Le Pharmacist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-30
1437759453 Rebecca Fritze Social Worker 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-28
1225637713 Jedidiah Cates Recreation Therapist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-26
1457950719 Alisha Beckett Physical Therapist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-19
1982203303 Madeline Wollersheim Speech-Language Pathologist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-19
1285232611 Hannah Schmidt Registered Nurse 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-10-16
1134736861 Samuel William Schieffer Pharmacist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-09-27
1306452727 Kate Finn Psychologist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-09-21
1447865068 Amanda Mueller Pharmacist 1 Veterans Dr, Minneapolis, MN 55417-2309 2020-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205444791 Patrick Reilly Steck Dentist 4948 S 34th Ave, Minneapolis, MN 55417 2020-07-21
1174160832 Susan Jacobson Pharmacist One Veterans Drive (119), Minneapolis, MN 55417 2019-12-02
1699240580 Angela Cox Social Worker Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 2018-10-08
1407353519 Kirsten Kathleen Rydberg Registered Nurse One Veteran Drive, Minneapolis, MN 55417 2018-04-06
1902306038 Ksa Psychological Services, LLC Psychologist 5603 Chicago Ave., Minneapolis, MN 55417 2018-02-15
1770025710 Elizabeth Kate Adam Registered Nurse 613 E Minnehaha Pkwy, Minneapolis, MN 55417 2016-11-08
1831579754 John Rossakis Occupational Therapist 5708 42nd Ave S, Minneapolis, MN 55417 2015-06-05
1205214566 Karin Shelstad Specialist/Technologist 5501 10th Av S, Minneapolis, MN 55417 2015-05-07
1750712733 Debra Sand Massage Therapist 2750 E 50th Street, Minneapolis, MN 55417 2013-12-02
1669764221 Michael Alan Newman Internal Medicine One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 2011-05-13
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942762828 Jodi Lynn Martin Nurse Practitioner 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 2019-04-01
1437506417 Zahra Roble Nurse Practitioner 1801 Nicolllet Ave S, Minneapolis, MN 55403 2016-05-19
1891170593 Lindsey Smith Nurse Practitioner 421 18th Ave N, Minneapolis, MN 55411-3314 2015-07-23
1689068421 Bridget Flynn Nurse Practitioner 6100 11th Ave S, Minneapolis, MN 55417-3208 2015-03-18
1386931178 Abimbola Adenike Matti Nurse Practitioner 732 E Lake St, Pain Relief Center of Minnesota, Minneapolis, MN 55407-1547 2011-06-30
1235421660 Meghann Rae Cody Nurse Practitioner 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 2011-05-04
1710218151 Sheila Kathleen Smith Nurse Practitioner 814 S 3rd St, Minneapolis, MN 55415 2010-01-25
1295926129 Michelle A Aldrich Rn Cnp Pa Nurse Practitioner 4215 31st Ave S, Minneapolis, MN 55406-3311 2007-08-06
1881783801 Denise Rae Erickson Nurse Practitioner One Verans Dr., Minneapolis, MN 55417 2006-10-11
1316972011 Jean H Lewis Nurse Practitioner 1 Veterans Dr Ive 112d, Minneapolis, MN 55417-2309 2006-07-11
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Competitor

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City MINNEAPOLIS
Zip Code 55417

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Dataset Information

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.

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