LISA PETTY (NPI# 1518513118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518513118 |
| Entity Type | Individual |
| Full Name | LISA PETTY |
| Credential | FNP-C |
| Practice Address |
618 Hospital Rd Tappahannock VA 22560-5000 |
| Mailing Address |
P.o. Box 411 Montross VA 22520 |
| Practice Telephone | 8044438628 |
| Mailing Telephone | 4439665191 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0024177799 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718632 | Lisa Christine Petty | Physical Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2017-09-01 |
| 1033199559 | Lisa Ann Petty | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-01-19 |
| Street Address |
618 HOSPITAL RD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031263 | William Michael Lyth | Anesthesiology | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2005-05-23 |
| 1629600523 | Jacqueline R Ambrose | Dietitian, Registered | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2020-02-08 |
| 1427571439 | Patrick Bruce Hill | Nurse Practitioner | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2017-07-21 |
| 1760864003 | Mohammed S Abdulghani | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560 | 2015-06-23 |
| 1295140051 | Mohannad Jabbari | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2014-06-30 |
| 1003118068 | Yanela Margarita Duenas Milian | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2010-11-24 |
| 1407015126 | Alexander Oritseretsolaye Ogedegbe | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2008-06-06 |
| 1275739070 | Thomas Leo Cleary IIi | Emergency Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2007-06-27 |
| 1508911090 | Sharon Outten | Radiology | 618 Hospital Rd, Tappahannock Hospital, Tappahannock, VA 22560-5000 | 2007-01-24 |
| 1134271208 | Riverside Tappahannock Hospital Inc | Medicare Defined Swing Bed Unit | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| Find all providers in zip 22560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851427215 | C-med Company | Family Medicine | 144 Fellowship Ct, Tappahannock, VA 22560-5049 | 2007-02-27 |
| 1447339288 | Riverside Physicians Services Inc | Family Medicine | 300 Mount Clement Park, Ste C, Tappahannock, VA 22560 | 2006-11-03 |
| 1639131642 | Robert E Briggs | Family Medicine | 658 Hospital Rd, Suite 303, Tappahannock, VA 22560-5000 | 2006-04-05 |
| 1811996564 | Rosemary Theresa Enright | Family Medicine | 300 Mt Clement Park, Sutie A, Tappahannock, VA 22560-5098 | 2005-07-15 |
| 1942746938 | Tappahannock Physicians, Inc. | Family Medicine | 721 Charlotte St., Tappahannock, VA 22560-9308 | 2017-01-13 |
| 1821318064 | Anshul Gupta | Family Medicine | 300 Mt Clement Park, Suite C, Tappahannock, VA 22560-5098 | 2010-06-10 |
| 1215168430 | Riverside Physician Services, Inc | Family Medicine | 300 Mt Clement Park, Ste A, Tappahannock, VA 22560-5098 | 2009-08-05 |
| 1083817811 | Anastasia Dumbra Cleary | Family Medicine | 300 Mt Clement Park, Ste C, Tappahannock, VA 22560-5098 | 2007-06-08 |
| 1417023490 | Thomas K Irungu | Family Medicine | 300 Mt Clement Park, Suite A, Tappahannock, VA 22560-5098 | 2006-11-28 |
| 1568430841 | Ryan Gentry Williams | Family Medicine | 300 Mt Clement Park, Suite C, Tappahannock, VA 22560-5098 | 2006-03-10 |
| Find all providers in TAPPAHANNOCK | ||||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
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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.