LISA RENEE SHOEMAKER (NPI# 1528665171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528665171 |
| Entity Type | Individual |
| Full Name | LISA RENEE SHOEMAKER |
| Practice Address |
5175 Old Clemmons School Rd Winston-salem NC 27102-9087 |
| Mailing Address |
294 Bobbit Rd Advance NC 27006-6603 |
| Practice Telephone | 7047804271 |
| Practice Fax Number | 8882616694 |
| Mailing Telephone | 8283810447 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1174153464 | Lisa Shoemaker | Social Worker | 3129 Spring Grove Ave, Cincinnati, OH 45225-1821 | 2020-01-25 |
| 1144886169 | Lisa Shoemaker | Behavior Technician | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-05-15 |
| 1679740666 | Lisa Shoemaker | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2008-05-09 |
| 1457373557 | Lisa Shoemaker | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-07-25 |
| Street Address |
5175 OLD CLEMMONS SCHOOL RD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27102-9087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368419 | Jazmen Makala Batchelor | Behavior Technician | 5175 Old Clemmons School Rd, Winston-salem, NC 27102 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811246994 | Rita Nickens-silva | Counselor | 1014 Hawk Ridge Circle, Winston-salem, NC 27102 | 2012-09-05 |
| 1902411697 | Brenita Howard | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-09-10 |
| 1063020964 | Adam Thibeault | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-07-16 |
| 1528685443 | Garcia Jacobs Harris | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-26 |
| 1437775632 | Iman Saadat | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-23 |
| 1598381121 | Kelly Young | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| 1588280119 | Turquoise Muir | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| 1538784095 | Sara Holka | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-10 |
| 1619591849 | Rachel Clark | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-03 |
| 1427672914 | Vontreece Hayes | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-01 |
| Find all providers in zip 27102 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869670 | Megan Nicholson | Behavior Technician | 5175 Old Clemmons School Rd., Winston-salem, NC 27102-9087 | 2020-10-20 |
| 1497368419 | Jazmen Makala Batchelor | Behavior Technician | 5175 Old Clemmons School Rd, Winston-salem, NC 27102 | 2020-08-28 |
| 1174159008 | Jasmine Hutchins-uzzell | Behavior Technician | 5175 Old Clemmons School Road, Winston-salem, NC 27102 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346037 | Ma'jhani Gaines | Behavior Technician | 300 Riverview Dr, Zebulon, NC 27597-8217 | 2020-11-06 |
| 1629679584 | Shenita Covington | Behavior Technician | 1217 Ujamaa Dr, Raleigh, NC 27610-5767 | 2020-11-05 |
| 1407457393 | Alisha Jane Cross | Behavior Technician | 916 Cox Rd # 201, Gastonia, NC 28054-3496 | 2020-11-05 |
| 1629679675 | Katherine G. Brown | Behavior Technician | 5051 Amber Clay Ln, Raleigh, NC 27612-3069 | 2020-11-05 |
| 1780285775 | Kaylin Nichole Zink | Behavior Technician | 10936 Sand River Ct, Davidson, NC 28036-9512 | 2020-11-05 |
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1447850300 | Caroline Elizabeth Boyette | Behavior Technician | 5018 Hunt Club Rd Apt 7, Wilmington, NC 28403-0645 | 2020-10-29 |
| 1558961417 | Olivia Grace Warren | Behavior Technician | 217 Greenville Ave Unit B, Wilmington, NC 28403-3511 | 2020-10-29 |
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1356940035 | Kaitlyn Kinzer | Behavior Technician | 6240 Saint Regis Cir Apt 202, Raleigh, NC 27606-2286 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27102 |
Please comment or provide details below to improve the information on LISA RENEE SHOEMAKER.
| 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.