MS. LISA M HARTLEY (NPI# 1497731707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497731707 |
| Entity Type | Individual |
| Full Name | MS. LISA M HARTLEY |
| Credential | RN BSN CDE |
| Practice Address |
681 Main St Ste 100 Placerville CA 95667-5736 |
| Mailing Address |
1100 Marshall Way Placerville CA 95667-6533 |
| Practice Telephone | 5306262990 |
| Practice Fax Number | 5306262992 |
| Mailing Telephone | 5306262990 |
| Mailing Fax Number | 5306262992 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133V00000X | Dietitian, Registered | 308969 | CA | Dietary & Nutritional Service Providers |
| X | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
20210187 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDE | 20210187 | 01 |
| CA | RN | 308969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023443348 | Lisa Danielle Hartley | Contractor | 1896 Wickland Dr, Lexington, KY 40505-2053 | 2013-09-05 |
| Street Address |
681 MAIN ST STE 100 |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619157849 | Judith Ann French | Marriage & Family Therapist | 681 Main St, Suite 201, Placerville, CA 95667-5736 | 2007-11-05 |
| 1548475163 | Lindsay Erin Bowersox | Dietitian, Registered | 681 Main St, Suite 100, Placerville, CA 95667-5736 | 2007-05-14 |
| 1023129871 | Catherine Seleine Ciampa | Marriage & Family Therapist | 681 Main St, Suite 216, Placerville, CA 95667-5736 | 2006-08-31 |
| 1376529677 | Ann Jeanette Kenworthy | Registered Nurse | 681 Main St, Suite 100, Placerville, CA 95667-5736 | 2005-12-19 |
| 1720064025 | Dawn E Duer | Dietitian, Registered | 681 Main St, Ste 100, Placerville, CA 95667-5736 | 2005-12-19 |
| 1417933714 | Wendy Marie Mueller-cunningham | Dietitian, Registered | 681 Main St, Suite 100, Placerville, CA 95667-5736 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689970402 | Chelsea Britton | Dietitian, Registered | 1004 Fowler Way Ste 8, Placerville, CA 95667-5746 | 2011-01-27 |
| 1548475163 | Lindsay Erin Bowersox | Dietitian, Registered | 681 Main St, Suite 100, Placerville, CA 95667-5736 | 2007-05-14 |
| 1720064025 | Dawn E Duer | Dietitian, Registered | 681 Main St, Ste 100, Placerville, CA 95667-5736 | 2005-12-19 |
| 1417933714 | Wendy Marie Mueller-cunningham | Dietitian, Registered | 681 Main St, Suite 100, Placerville, CA 95667-5736 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.