LISA A ROBERTS (NPI# 1437298296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437298296 |
| Entity Type | Individual |
| Full Name | LISA A ROBERTS |
| Credential | P.A.-C |
| Practice Address |
3555 Monte Villa Pkwy Bothell WA 98021-8982 |
| Practice Telephone | 4252882104 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10003907 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8363061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785884 | Lisa Ann Roberts | Registered Nurse | 10720 N Rodney Parham Rd Ste B5, Little Rock, AR 72212-4199 | 2020-09-22 |
| 1679079008 | Lisa R Roberts | Specialist | 61 Davis Ave Apt M, White Plains, NY 10605-1009 | 2018-04-04 |
| 1083148910 | Lisa Lembeck Roberts | Internal Medicine | 1500 S. Fairfield St, Chicago, IL 60608 | 2017-04-18 |
| 1528433380 | Lisa Roberts | Occupational Therapist | 5455 Glenridge Dr, Atlanta, GA 30342-4968 | 2015-12-04 |
| 1730510454 | Lisa Roberts | Counselor | 1440 Old Bethel Church Road, Monticello, KY 42633-1210 | 2013-12-05 |
| 1033385182 | Lisa Anne Roberts | Registered Nurse | 10654 E Ananea Ave, Mesa, AZ 85208-8738 | 2008-05-07 |
| 1932241395 | Lisa Northcutt Roberts | Counselor | 206 E. Main, Gustine, TX 76455 | 2007-02-13 |
| 1831264464 | Lisa Roberts | Internal Medicine | 50 Park Terrace East, 7k, New York, NY 10034 | 2006-11-21 |
| 1467563700 | Lisa Beth Roberts | Optometrist | 29 Irvin Drive, Philipsburg, PA 16866 | 2006-08-31 |
| 1437193711 | Lisa R Roberts | Nurse Practitioner | 1201 Brookside Ave, Redlands, CA 92373-4402 | 2006-06-16 |
| Street Address |
3555 MONTE VILLA PKWY |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184993859 | Rachna Eav Grunkemeier | Physician Assistant | 3555 Monte Villa Pkwy, Bothell, WA 98021-8982 | 2011-12-23 |
| 1023207669 | Dona Ahrens | Physician Assistant | 3555 Monte Villa Pkwy, Bothell, WA 98021-8982 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| 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 |
|---|---|---|---|---|
| 1629479092 | Donald Joseph Smith II | Physician Assistant | 23108 19th Pl W, Bothell, WA 98021-9348 | 2014-09-04 |
| 1770912180 | Srujana Karlapalem | Physician Assistant | 10414 Beardslee Blvd # 100, Bothell, WA 98011-3205 | 2013-11-06 |
| 1073680146 | Marianne Hanna Wahba | Physician Assistant | 19310 N Creek Pkwy Ste 106, Bothell, WA 98011-8006 | 2006-11-30 |
| 1215456439 | Julia Nadine Wilson | Physician Assistant | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-09-19 |
| 1184993859 | Rachna Eav Grunkemeier | Physician Assistant | 3555 Monte Villa Pkwy, Bothell, WA 98021-8982 | 2011-12-23 |
| 1376750794 | William A Buchanan | Physician Assistant | 18323 Bothell Everett Hwy, Suite 220, Bothell, WA 98012-5246 | 2007-05-16 |
| 1538217161 | Judith A. Bond | Physician Assistant | 11913 Ne 195th St, Bothell, WA 98011-3147 | 2007-01-08 |
| 1881603496 | Shavonne C Tonnes | Physician Assistant | 707 228th St Sw, Bothell, WA 98021-9799 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.