LISA GWILLIAM (NPI# 1598132128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598132128 |
| Entity Type | Individual |
| Full Name | LISA GWILLIAM |
| Credential | FNP |
| Practice Address |
7910 Frost St Ste 200 San Diego CA 92123-2771 |
| Mailing Address |
3020 Childrens Way Mc 5003 San Diego CA 92123-4223 |
| Practice Telephone | 8589664032 |
| Mailing Telephone | 8583096300 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95002845 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7910 FROST ST STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487458 | Jadwiga M Alexiewicz | Internal Medicine | 7910 Frost St, Ste 220, San Diego, CA 92123-2771 | 2005-06-17 |
| 1023474442 | Diane Wintz Md Inc | Surgery | 7910 Frost St, Ste 450, San Diego, CA 92123-2771 | 2016-01-14 |
| 1104281088 | Carina Lee | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2015-12-21 |
| 1699154401 | Synergy Specialists Medical Group | Specialist | 7910 Frost St, Suite 340, San Diego, CA 92123-2771 | 2015-05-26 |
| 1386037976 | Theresa Lawson | Registered Nurse | 7910 Frost St, San Diego, CA 92123-2771 | 2015-03-06 |
| 1740605070 | Christine Colon | Genetic Counselor, MS | 7910 Frost St, Suite 430, San Diego, CA 92123-2771 | 2014-02-24 |
| 1154762003 | Christina Raquel Tolentino | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2013-07-08 |
| 1992149447 | Rebecca Recker Adami | Obstetrics & Gynecology | 7910 Frost St, San Diego, CA 92123-2771 | 2013-04-25 |
| 1821431321 | Joann B Pun | Nurse Practitioner | 7910 Frost St, Ste 335, San Diego, CA 92123-2771 | 2013-04-15 |
| 1891036448 | Michelle F Lopez | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on LISA GWILLIAM.
| 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.