LISA S GEHENIO (NPI# 1477567592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477567592 |
| Entity Type | Individual |
| Full Name | LISA S GEHENIO |
| Credential | CRNP |
| Practice Address |
615 Cumberland St Lebanon PA 17042-5233 |
| Practice Telephone | 7172736741 |
| Practice Fax Number | 7172736337 |
| Mailing Telephone | 7172736741 |
| Mailing Fax Number | 7172736337 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
VP001495C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | VP001495C | 01 |
| Street Address |
615 CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647756 | Kathleen Jesiolowski | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2005-08-23 |
| 1417589458 | Stephannie Tamayo | Counselor | 615 Cumberland St, Lebanon, PA 17042-5233 | 2020-02-07 |
| 1275018160 | Sexual Assault Resource & Counseling Center of Lebanon & Sch | Social Worker | 615 Cumberland St, Lebanon, PA 17042-5233 | 2018-09-26 |
| 1134644180 | Mark Wayne Collins | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-08-11 |
| 1457871873 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-06-27 |
| 1780121822 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-01-27 |
| 1316308414 | Nakeeshia Essex Greene | Counselor | 615 Cumberland St, Lebanon, PA 17042 | 2016-03-16 |
| 1720342520 | Natalie Anne Wittes | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2012-06-27 |
| 1548532211 | Marilyn Ann Boogaard | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2012-01-27 |
| 1255428488 | Lebanon Family Health Service Inc. | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932525839 | Lindsay Schommer | Nurse Practitioner | 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 | 2014-03-16 |
| 1598016958 | Kevin P Kalnoski | Nurse Practitioner | 864 Jay St, Lebanon, PA 17046-1924 | 2012-09-26 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1184785826 | Jane Shelby Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2006-12-13 |
| 1932276466 | Jennifer Ann Petty | Nurse Practitioner | 1123 North Castleheights Avenue, Suite H, Lebanon, TN 37087-1510 | 2006-11-29 |
| 1124645536 | Christina Lynne Cohee | Nurse Practitioner | 2505 N Lebanon St Ste 220, Lebanon, IN 46052-8611 | 2020-07-01 |
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1477180552 | Catherine Anton | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-03-26 |
| 1043772932 | Connesuala Powers | Nurse Practitioner | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2019-04-01 |
| 1033692850 | Alexa Ruppert Holleran | Nurse Practitioner | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2018-09-07 |
| Find all providers in LEBANON | ||||
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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.