LISA DUDASIK (NPI# 1376069385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376069385 |
| Entity Type | Individual |
| Full Name | LISA DUDASIK |
| Practice Address |
2300 Diamond Mesa Trail Sw 8805 Albuquerque NM 87121 |
| Mailing Address |
2300 Diamond Mesa Trl Sw Albuquerque NM 87121-3602 |
| Practice Telephone | 5053772328 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | NM | Nursing Service Related Providers |
| Street Address |
2300 DIAMOND MESA TRAIL SW 8805 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| 1013257237 | Noemi Martinez | Chiropractor | 352 Lindsay, Albuquerque, NM 87121 | 2013-02-25 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186076 | Ohica-hadiya Ali | Day Training/Habilitation Specialist | 12700 Constitution Ave Ne Apt 9, Albuquerque, NM 87112-6067 | 2020-08-25 |
| 1265050256 | Aiyanna Amanda Woods-clark | Day Training/Habilitation Specialist | 440 Erbbe St Ne, Albuquerque, NM 87123-1138 | 2020-07-07 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1053960757 | Rachael Lauren Corchine | Day Training/Habilitation Specialist | 6401 Santa Monica Ave Ne Apt 2086, Albuquerque, NM 87109-4166 | 2019-09-05 |
| 1457909095 | Naketta Jean Wiley | Day Training/Habilitation Specialist | 7709 Amy Marie Ct Nw, Albuquerque, NM 87120-6543 | 2019-08-27 |
| 1194371948 | Lorena Luevano | Day Training/Habilitation Specialist | 10600 Andalusian Ave Sw, Albuquerque, NM 87121-8949 | 2019-08-16 |
| 1609420223 | Ru'a Maadi | Day Training/Habilitation Specialist | 1200 Avenida Cesar Chavez Se Apt 423, Albuquerque, NM 87106-3902 | 2019-07-31 |
| 1861051930 | Michelle Zaintz | Day Training/Habilitation Specialist | 7524 Saint Clair St Ne, Albuquerque, NM 87109-5434 | 2019-06-11 |
| 1801453857 | Francesca Son | Day Training/Habilitation Specialist | 10425 Mullhacen Pl Nw, Albuquerque, NM 87114-4991 | 2019-05-24 |
| 1760046163 | Cassandra R Tapia | Day Training/Habilitation Specialist | 811 Louanne Ln Nw, Albuquerque, NM 87114-8800 | 2019-05-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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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.