MRS. LISSETTE KINSELLA (NPI# 1609204569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609204569 |
Entity Type | Individual |
Full Name | MRS. LISSETTE KINSELLA |
Other Name | LISSETTE ESTELLA |
Credential | FNP |
Practice Address |
33 Rebecca Dr Palmyra VA 22963-6242 |
Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
Practice Telephone | 4346544680 |
Practice Fax Number | 4345896688 |
Mailing Telephone | 4346547794 |
Mailing Fax Number | 4346547752 |
Enumeration Date | 2013-10-30 |
Last Update Date | 2017-05-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024171375 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
33 REBECCA DR |
City | PALMYRA |
State | VA |
Zip Code | 22963-6242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316991227 | Katherine Smyth | Pediatrics | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2006-05-22 |
1942413109 | Laura C Howard | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2007-05-07 |
1265448310 | Randolph Marshall Baker | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2006-07-31 |
1093758534 | Paige B Nolte | Internal Medicine | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851809941 | Alexa Cservek | Psychologist | 9172 James Madison Hwy, Palmyra, VA 22963 | 2018-01-11 |
1457716672 | Caroline Bach | Physical Therapist | 109 Crofton Pl, Palmyra, VA 22963 | 2015-12-15 |
1699159251 | Lucy Little Hill | Community Health Worker | 3 Dew Court, Palmyra, VA 22963 | 2015-07-14 |
1720380306 | Sandra Mae Chirico | Occupational Therapist | 473 Jefferson Drive West, Palmyra, VA 22963 | 2010-12-02 |
1225263486 | Lucy Ricardo Larsen | Acupuncturist | 202 Turkeysag Trail, Palmyra, VA 22963 | 2009-05-18 |
1720132293 | James Colburn Steere | Dentist | 13653 James Madison Hwy, Palmyra, VA 22963 | 2007-01-22 |
1831106327 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 132 Main Street, County Office Building, Palmyra, VA 22963 | 2006-08-01 |
1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
1538521646 | Ryan Mckinney | Physical Therapist | 77 Market St Ste B, Palmyra, VA 22963 | 2016-03-28 |
Find all providers in zip 22963 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467077537 | Rebbecca Camerer | Nurse Practitioner | 412 W Locust St, Palmyra, IL 62674-4538 | 2020-06-14 |
1962991018 | Catherine Pendleton Davis | Nurse Practitioner | 83 Jefferson Dr, Palmyra, VA 22963-2022 | 2018-05-04 |
1396107587 | Ruth Renee Holley | Nurse Practitioner | 28747 Concord Rd, Palmyra, IL 62674-6432 | 2016-03-25 |
1497142038 | Lolita Brown | Nurse Practitioner | 938 Cinnaminson Ave, Palmyra, NJ 08065-1805 | 2015-04-21 |
1932307311 | Rebecca Ann Mcallister | Nurse Practitioner | 125 N. Third St, Suite E, Palmyra, WI 53156-5315 | 2007-07-06 |
1124333661 | Elizabeth Amalia Ross | Nurse Practitioner | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-09 |
1821159211 | Vicky Byrne Generelly | Nurse Practitioner | 5766 Thomas Jefferson Pkwy, Palmyra, VA 22963-4383 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
Find all providers with the same taxonomy |
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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.