LISA SUSAN WILLIAMS (NPI# 1487216743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487216743 |
Entity Type | Individual |
Full Name | LISA SUSAN WILLIAMS |
Credential | AGPCNP |
Practice Address |
76 Southaven Ave Ste 5 Medford NY 11763-3745 |
Mailing Address |
11 Wexford Dr Oakdale NY 11769-1438 |
Practice Telephone | 6314478860 |
Mailing Telephone | 5163805777 |
Enumeration Date | 2019-07-07 |
Last Update Date | 2019-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
309193 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822265 | Lisa E Williams | Prevention Professional | 1845 Fairfax Rd, Toledo, OH 43613-5211 | 2020-08-19 |
1659995470 | Lisa Williams | Behavioral Analyst | 1043 W Avenue M4 Ste C, Palmdale, CA 93551-1439 | 2020-06-08 |
1275185217 | Lisa Stoner Williams | Physical Therapist | 428 Mclaws Cir Ste 203, Williamsburg, VA 23185-5654 | 2019-07-10 |
1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
1427613371 | Lisa Williams | Intermediate Care Facility, Mentally Retarded | 1202 St. Maurice Ave, New Orleans, LA 70117-7011 | 2019-05-07 |
1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
1245717701 | Lisa Lebon Williams | Social Worker | 22916 Jacocks Rd, Slaughter, LA 70777-9615 | 2018-07-26 |
1194244004 | Lisa Williams | Case Manager/Care Coordinator | 548 E Seminole St, Tulsa, OK 74106-4332 | 2017-09-12 |
1699203166 | Lisa Michelle Williams | Chiropractor | 1770 Timberwood Blvd Ste 103, Charlottesville, VA 22911-7501 | 2017-05-30 |
1922557636 | Lisa Williams | Registered Nurse | 9423 Reservoir Rd, Fredericksburg, VA 22407-9220 | 2016-09-23 |
Street Address |
76 SOUTHAVEN AVE STE 5 |
City | MEDFORD |
State | NY |
Zip Code | 11763-3745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003839424 | Christine Ann Stanek | Nurse Practitioner | 2859 State Street, Suite 101, Medford, OR 97504 | 2006-07-26 |
1114997244 | Eileen Weldon Stiles | Nurse Practitioner | 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 | 2006-01-23 |
1134129133 | Barbara Anne Stewart | Nurse Practitioner | 2960 Doctors Park Dr, Medford, OR 97504-8127 | 2005-08-01 |
1295391985 | Kag Professional Nurse Practioner In Adult Health Pllc | Nurse Practitioner | 3115 Horseblock Rd, Medford, NY 11763-2526 | 2019-05-17 |
1013458405 | Elysian Health | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2017-03-17 |
1801335336 | Julia Ann Smith | Nurse Practitioner | 811 W Broadway Ave, Medford, WI 54451-1307 | 2017-02-16 |
1528506334 | Rebecca Rampton | Nurse Practitioner | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-02-01 |
1700238623 | Courtney Nicholas | Nurse Practitioner | 1723 N Ocean Ave, Medford, NY 11763-2687 | 2016-07-02 |
1871983353 | Nancy Obispo | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2015-02-04 |
1881006997 | Erin Marie Dittmer | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2014-05-22 |
Find all providers in MEDFORD |
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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.