MS. LISA MARIE SCHAUBROECK (NPI# 1598178998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598178998 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE SCHAUBROECK |
| Other Name | MS. LISA MARIE PEMPEK |
| Credential | AGNP |
| Practice Address |
668 W Brazos Ave West Columbia TX 77486-2616 |
| Mailing Address |
6931 County Road 289 Sweeny TX 77480-4036 |
| Practice Telephone | 9793452525 |
| Mailing Telephone | 9796474820 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP125646 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP125646 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
668 W BRAZOS AVE |
| City | WEST COLUMBIA |
| State | TX |
| Zip Code | 77486-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922349174 | Falon Leshay Turner | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2013-03-13 |
| 1386067304 | Virgust Justice Dykes | Physician Assistant | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969242 | Laura K. Kincannon | Dentist | 907 S. Columbia Dr., West Columbia, TX 77486 | 2012-07-11 |
| 1437310323 | Walgreen Co. | Pharmacy | 100 E Brazos Ave, West Columbia, TX 77486 | 2008-06-23 |
| 1821160409 | Terry L Driggers | Dentist | 505 Dance Drive, West Columbia, TX 77486 | 2006-11-15 |
| 1568560142 | Robert L. Coburn, D.c.,p.c. | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2006-09-20 |
| 1700078995 | Robert Lee Coburn | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2007-08-13 |
| 1922025105 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2006-07-16 |
| 1528617883 | Ndidi Godfrey | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2019-09-10 |
| 1326527268 | Angela Elizabeth Hughes | Pharmacy | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2018-08-10 |
| 1144686262 | Boyang Lin | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2016-01-05 |
| 1770081028 | Sweeny Hospital District | Clinic/Center | 668 W Brazos Ave Ste 668, West Columbia, TX 77486-2616 | 2018-01-31 |
| Find all providers in zip 77486 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| 1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
| 1205072808 | Gerlanda Derr | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2009-01-02 |
| 1891306205 | Sarah Peden | Nurse Practitioner | 222 E Medical Ln Ste 400, West Columbia, SC 29169-4848 | 2020-08-11 |
| 1356969778 | Tiffany Ann Christian | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-07-13 |
| 1770116477 | Jamie L Odom | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-20 |
| 1033742531 | Keelin Jamaal Golden-maldonado | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-13 |
| 1912544198 | Casey Hendrix Purcell | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-12-05 |
| 1588200661 | Kaitlyn A Keenan | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-22 |
| 1770128613 | Lisa Mondo Davis | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-14 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 77486 |
Please comment or provide details below to improve the information on MS. LISA MARIE SCHAUBROECK.
| 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.