LISA ANN GROSS (NPI# 1396375325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396375325 |
| Entity Type | Individual |
| Full Name | LISA ANN GROSS |
| Credential | PA-C |
| Practice Address |
3007 Town Center Dr Ste 100 Fayetteville NC 28306-3663 |
| Mailing Address |
935 Shotwell Rd Ste 108 Clayton NC 27520-5598 |
| Practice Telephone | 9103541281 |
| Mailing Telephone | 9193592667 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972849685 | Lisa Gross | Massage Therapist | 258 Highway 35, Red Bank, NJ 07701-5920 | 2012-12-27 |
| 1952619793 | Lisa D Gross | Occupational Therapist | 8 Hobart Ct, Dix Hills, NY 11746-4867 | 2010-09-14 |
| 1043458532 | Lisa Nicole Gross | Specialist/Technologist | 4410 Pennsylvania Ave Apt 4, Kansas City, MO 64111-3323 | 2009-01-22 |
| 1821271560 | Lisa K Gross | Physical Therapist | 2909 Daniell Cir, Bellevue, NE 68123-1980 | 2007-12-17 |
| 1659634392 | Lisa Lorraine Gross | Massage Therapist | 3595 Nw Bucklin Hill Rd, Silverdale, WA 98383-8503 | 2012-06-18 |
| 1467721597 | Lisa Ann Gross | Occupational Therapy Assistant | N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 | 2011-12-19 |
| 1750605093 | Lisa Ann Gross | Pharmacist | 105 Mall Blvd, Monroeville, PA 15146-2230 | 2010-03-15 |
| 1114249406 | Lisa E. Gross | Pharmacist | 961 E Columbus Ave, Corry, PA 16407-9163 | 2010-02-27 |
| 1841400165 | Lisa Gross | Psychologist | 3900 Valley Ave Ste B, Pleasanton, CA 94566-4871 | 2007-05-23 |
| 1043337587 | Lisa Fields Gross | Counselor | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2007-03-22 |
| Street Address |
3007 TOWN CENTER DR STE 100 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443387 | Melissa Macneil Spencer | Physician Assistant | 810 Knighthood Cir, Fayetteville, NY 13066-8721 | 2020-10-03 |
| 1366067548 | Prathna Raval | Physician Assistant | 6808 Thames Dr, Fayetteville, NC 28306-2524 | 2020-06-12 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1144858515 | Mackenzie Anna Kirchner | Physician Assistant | 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 | 2020-03-31 |
| 1770116931 | Chasity Nicole Sullivan | Physician Assistant | 202b Highland Ave, Fayetteville, NC 28305-5308 | 2020-02-17 |
| 1740812833 | Madeline Everitt Monday | Physician Assistant | 705 Stonington Dr, Fayetteville, NC 28311-0329 | 2020-02-07 |
| 1811536048 | Kelly Hamilton Sweatt | Physician Assistant | 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 | 2020-01-06 |
| 1922563667 | Reandy Nicole Hearn | Physician Assistant | 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 | 2019-02-06 |
| 1790259430 | Cassandra Ann Nebosky-diaz | Physician Assistant | 659 Daharan Dr, Fayetteville, NC 28314-6538 | 2019-01-16 |
| 1164968103 | Natalia Kulik | Physician Assistant | 5085 Morganton Rd Ste 100, Fayetteville, NC 28314-1497 | 2017-01-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
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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.