LISA MARIE CLEVELAND (NPI# 1457675068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457675068 |
| Entity Type | Individual |
| Full Name | LISA MARIE CLEVELAND |
| Credential | NP |
| Practice Address |
618 Live Oak San Antonio TX 78202-1932 |
| Mailing Address |
7703 Floyd Curl Dr San Antonio TX 78229-3901 |
| Practice Telephone | 2102232944 |
| Mailing Telephone | 2104509000 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP109719 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP109719 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 376046401 | 05 | |
| TX | CSHCN | 376046402 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7271 Wurzbach Rd Ste 220, San Antonio, TX 782403892 | 2105677400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902461098 | Lisa Kim Cleveland | Counselor | 123 N Westover Blvd, Albany, GA 31707-2949 | 2019-05-05 |
| 1679845796 | Lisa Marie Cleveland | Occupational Therapist | 17462 N 94th St, 1099, Scottsdale, AZ 85255-6501 | 2012-02-05 |
| 1407480049 | Lisa Anne Cleveland | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-02-22 |
| 1801342530 | Lisa Cleveland | Nurse Practitioner | 1606 Prairie Center Pkwy, Suite 340, Brighton, CO 80601-4004 | 2016-09-01 |
| 1912158411 | Lisa Cleveland | Social Worker | 4600 47th Ave, Sacramento, CA 95824-3923 | 2008-10-02 |
| 1487653234 | Lisa M Cleveland | Physical Therapist | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1287 | 2005-07-14 |
| Street Address |
618 LIVE OAK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78202-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902019169 | Kenneth Williams Dpm | Podiatrist | 1954 E Houston, Ste 202, San Antonio, TX 78202 | 2007-05-07 |
| 1821115122 | H-e-b, Lp | Pharmacy | 415 N New Braunfels, San Antonio, TX 78202 | 2007-03-23 |
| 1215418520 | Nicholas James Dahlin | Physical Therapy Assistant | 921 Nolan St, San Antonio, TX 78202 | 2018-08-24 |
| 1760022081 | Amanda Rae Reyes | Social Worker | 239 N Center St Unit 404, San Antonio, TX 78202-0007 | 2020-01-14 |
| 1023294840 | Ella Austin Community Center | Clinic/Center | 1023 N Pine St, San Antonio, TX 78202-1203 | 2008-01-10 |
| 1760636500 | Rejuvenating Adult Day Care | Day Training, Developmentally Disabled Services | 1023 N Pine St, Bldg 4, San Antonio, TX 78202-1203 | 2008-11-06 |
| 1740517143 | Arlena Clarice Smith | Respite Care | 924 Saint James, San Antonio, TX 78202-2012 | 2009-11-06 |
| 1154495182 | El Centro Del Barrio, Inc. | Clinic/Center | 204 Nolan, San Antonio, TX 78202-2153 | 2006-11-20 |
| 1811141062 | Olivia Gonzales | Social Worker | 204 Nolan, San Antonio, TX 78202-2153 | 2008-11-13 |
| 1730339920 | Josephine Joan Sanchez | Social Worker | 204 Nolan, San Antonio, TX 78202-2153 | 2008-09-24 |
| Find all providers in zip 78202 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1982238317 | Belinda Dixon | Nurse Practitioner | 3422 Krie Highlands, San Antonio, TX 78245-1678 | 2020-02-25 |
| 1316580327 | Traci Dee Ulibarri | Nurse Practitioner | 431 Centro Hermosa, San Antonio, TX 78245-1298 | 2019-10-22 |
| 1912471012 | Sarah Alba | Nurse Practitioner | 9002 Culebra Rd # 100, San Antonio, TX 78251-2873 | 2019-01-11 |
| 1285105536 | Lizbeth Barba | Nurse Practitioner | 20642 Stone Oak Pkwy Ste 105, San Antonio, TX 78258-7363 | 2018-12-16 |
| 1427526839 | Christina Ferris | Nurse Practitioner | 7323 Marbach Rd Ste 107, San Antonio, TX 78227-1907 | 2018-11-05 |
| 1902309511 | Lauren R Carter Rohrer | Nurse Practitioner | 4522 Fredericksburg Rd Ste A11, San Antonio, TX 78201-6509 | 2018-03-10 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1669837720 | Rebekah Randall | Nurse Practitioner | 21195 W Ih 10 Ste 2101, San Antonio, TX 78257-1675 | 2015-12-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78202 |
Please comment or provide details below to improve the information on LISA MARIE CLEVELAND.
| 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.