LISA ANN EBERT (NPI# 1588727135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588727135 |
| Entity Type | Individual |
| Full Name | LISA ANN EBERT |
| Credential | CNP |
| Practice Address |
1479 N River Rd Fremont OH 43420 |
| Mailing Address |
Po Box 378 Sandusky OH 44871-0378 |
| Practice Telephone | 4193329978 |
| Practice Fax Number | 4193327989 |
| Mailing Telephone | 4196091112 |
| Mailing Fax Number | 4196091123 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-04359 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RN | APRN032039922 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2575 Hayes Ave, Suite 4, Fremont, OH 434205201 | 4193329978 | 4193327989 |
| Street Address |
1479 N RIVER RD |
| City | FREMONT |
| State | OH |
| Zip Code | 43420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774030 | Mary B. Wonderly | Family Medicine | 1479 N River Rd, Fremont, OH 43420-9760 | 2006-01-16 |
| 1891302584 | Samantha Hoffman | Nurse Practitioner | 1479 N River Rd, Fremont, OH 43420-9760 | 2020-09-26 |
| 1063073336 | Whitney Lynn Lockwood | Nurse Practitioner | 1479 N River Rd, Fremont, OH 43420-9760 | 2019-06-26 |
| 1215498035 | Allyson Hoops | Specialist/Technologist | 1479 N River Rd, Fremont, OH 43420-9760 | 2019-03-26 |
| 1376011445 | Matthew Baessler | Nurse Practitioner | 1479 N River Rd, Fremont, OH 43420-9760 | 2018-11-07 |
| 1891216404 | Jessica Ann Spencer | Registered Nurse | 1479 N River Rd, Fremont, OH 43420-9760 | 2017-07-05 |
| 1588105647 | Northern Ohio Medical Specialists,llc | Clinic/Center | 1479 N River Rd, Suite 130, Fremont, OH 43420-9760 | 2017-03-09 |
| 1265883623 | Kelly Jean Buckles | Nurse Practitioner | 1479 N River Rd, Fremont, OH 43420-9760 | 2016-06-28 |
| 1972967099 | Valerie L Floro | Midwife | 1479 N River Rd, Fremont, OH 43420-9760 | 2016-04-06 |
| 1578922134 | Alyssa Kromer | Physician Assistant | 1479 N River Rd, Fremont, OH 43420-9760 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145940 | Gloria E Follosco | Nurse Practitioner | 4425 Bidwell Dr Apt 5205, Fremont, CA 94538-2007 | 2020-05-14 |
| 1972144467 | Jayme Bristol | Nurse Practitioner | 325 N Myers St, Fremont, NE 68025-4606 | 2019-10-05 |
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1730672973 | Linda Ni | Nurse Practitioner | 992 Sundance Dr, Fremont, CA 94539-6969 | 2018-06-12 |
| 1700395621 | Enna Chen | Nurse Practitioner | 1999 Mowry Ave Ste A, Fremont, CA 94538-1757 | 2017-09-22 |
| 1699156539 | Mary Ann Z De Vera | Nurse Practitioner | 2147 Mowry Ave Ste D4, Fremont, CA 94538-1724 | 2015-06-16 |
| 1780082230 | Manoj Saini | Nurse Practitioner | 1860 Mowry Avenue Suite 200, Fremont, CA 94538 | 2014-12-16 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1225326358 | Cherl Mues | Nurse Practitioner | 350 W 23rd St Ste G, Fremont, NE 68025-2592 | 2011-07-11 |
| 1396826947 | Diane Pelan-johnson | Nurse Practitioner | 750 E. 29th St., Fremont, NE 68025 | 2006-10-18 |
| Find all providers in FREMONT | ||||
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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.