LISA ROSEBERRY (NPI# 1588910129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588910129 |
| Entity Type | Individual |
| Full Name | LISA ROSEBERRY |
| Credential | APRN |
| Practice Address |
330 Borthwick Ave Suite 205 Portsmouth NH 03801-4174 |
| Practice Telephone | 6034366115 |
| Practice Fax Number | 6034335567 |
| Mailing Telephone | 6034366115 |
| Mailing Fax Number | 6034335567 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-10-21 |
| NPI Deactivation Date | 10/14/2020 |
| NPI Reactivation Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN204517 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
051227-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3106269 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871969469 | Lisa Roseberry | Nurse Practitioner | 4905 Courtney Dr, Forest Park, GA 30297-1427 | 2015-08-18 |
| Street Address |
330 BORTHWICK AVE SUITE 205 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1760041784 | Jaclyn Heather Johnston | Physician Assistant | 330 Borthwick Ave, Portsmouth, NH 03801-4174 | 2019-06-12 |
| 1215486097 | Chelsey R Andrea | Nurse Practitioner | 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 | 2016-09-22 |
| 1790231660 | Shauna Nancy Sedler | Nurse Practitioner | 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 | 2016-08-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| 1497161228 | Friendship City Acute Trauma LLC | Surgery | 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 | 2014-07-01 |
| 1215354683 | Seacoast Dermatology Pllc | Dermatology | 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 | 2014-03-24 |
| 1174967509 | Sarah E Vandeventer | Physician Assistant | 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 | 2013-04-29 |
| 1316284599 | Nancy K Charest | Audiologist | 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 | 2013-01-09 |
| 1902143100 | Erica L Regan | Audiologist | 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
| 1144856063 | Sara Cornwell Lundberg | Nurse Practitioner | 29 Dighton Ave, Portsmouth, RI 02871-5512 | 2020-03-23 |
| 1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
| 1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
| 1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
| 1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
| 1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
| 1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on LISA ROSEBERRY.
| 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.