LISA FANTON (NPI# 1477097343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097343 |
| Entity Type | Individual |
| Full Name | LISA FANTON |
| Credential | LPN |
| Practice Address |
219 Viking Way Apt C3 Brockport NY 14420-2433 |
| Practice Telephone | 5854714676 |
| Mailing Telephone | 5854714676 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 251344-1 | NY | Nursing Service Providers |
| Street Address |
219 VIKING WAY APT C3 |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299834 | Bebielyn A Sullivan | Licensed Practical Nurse | 736 East Ave, Brockport, NY 14420-1751 | 2020-09-14 |
| 1083257380 | Melissa Siple | Licensed Practical Nurse | 8221 W Ridge Rd, Brockport, NY 14420-1429 | 2019-10-20 |
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1386172575 | Stephanie Lynn Holohan | Licensed Practical Nurse | 110 Fayette St Apt 2, Brockport, NY 14420-1640 | 2017-06-01 |
| 1497291488 | Jenna Menear | Licensed Practical Nurse | 7528 W Ridge Rd, Brockport, NY 14420-9429 | 2017-01-13 |
| 1841645652 | Meghan Siddons | Licensed Practical Nurse | 557 Salmon Creek Rd, Brockport, NY 14420-9713 | 2016-04-29 |
| 1649632340 | Regina Janda | Licensed Practical Nurse | 774 Gilmore Rd, Brockport, NY 14420-9403 | 2016-03-22 |
| 1407233638 | Barbara A Dodson | Licensed Practical Nurse | 131 Fayette St, Brockport, NY 14420-1639 | 2015-04-27 |
| 1952792756 | Raymond Danielak II | Licensed Practical Nurse | 126 Viking Way, Brockport, NY 14420-2405 | 2015-02-15 |
| 1366857864 | Margery Jo Macri-pauly | Licensed Practical Nurse | 225 Darla Dr, Brockport, NY 14420-9361 | 2014-06-24 |
| Find all providers in BROCKPORT | ||||
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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.