LISA MARIE HARRIS (NPI# 1609395110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609395110 |
| Entity Type | Individual |
| Full Name | LISA MARIE HARRIS |
| Credential | CNS |
| Practice Address |
100 S Madison St Thomasville GA 31792-5473 |
| Mailing Address |
98 E Club Dr Thomasville GA 31792-7604 |
| Practice Telephone | 2292360831 |
| Practice Fax Number | 2292360871 |
| Mailing Telephone | 5754058948 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CNS-00256 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN271169 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625886 | Lisa Gayle Harris | Nurse Practitioner | 601 N. Elm Street, High Point, NC 27262-4331 | 2019-05-22 |
| 1174001499 | Lisa Louise Harris | Registered Nurse | 919 Lindy Ct, Dayton, OH 45415-2130 | 2018-07-30 |
| 1629560396 | Lisa Ann Harris | Registered Nurse | 818 Jones St, Watertown, WI 53094-3924 | 2018-05-30 |
| 1245763176 | Lisa Harris | Counselor | 111 Thornfield Rd, Columbia, SC 29229-9150 | 2017-04-07 |
| 1669847927 | Lisa Harris | Counselor | 181 Sw 5th Ct, Deerfield Beach, FL 33441-4620 | 2015-12-11 |
| 1942671722 | Lisa Lyn Harris | Nurse Practitioner | 1832 Opal Ave, Lochbuie, CO 80603-7787 | 2015-10-19 |
| 1740671940 | Lisa Harris | Speech-Language Pathologist | 5207 Onyx Blvd, Billings, MT 59106-3214 | 2015-02-09 |
| 1992103337 | Lisa Harris | Developmental Therapist | 6 S Lakewood Dr, Effingham, IL 62401-1847 | 2014-12-17 |
| 1326478439 | Lisa Harris | Developmental Therapist | 230 Timberlands Dr, Louisburg, NC 27549-6450 | 2013-11-26 |
| 1518241140 | Lisa Harris | Registered Nurse | 850 Mission Sierra Ct, Apt A, Redding, CA 96003-3878 | 2011-09-30 |
| Street Address |
100 S MADISON ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133521 | Michael Forehand | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2006-05-19 |
| 1730796111 | Kenneth James Burnsed Jr. | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2020-09-29 |
| 1396230413 | Tansha Enoch | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2018-07-01 |
| 1205334737 | Katherine Love Edelen | Physician Assistant | 100 S Madison St, Thomasville, GA 31792-5473 | 2018-01-30 |
| 1083158711 | Teresa Salmeron | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2016-12-14 |
| 1245694157 | Shaun Hoenstine | Internal Medicine | 100 S Madison St, Thomasville, GA 31792-5473 | 2016-04-06 |
| 1962819482 | Ashley Traylor | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2014-07-16 |
| 1811333784 | Rachel Russell Meadors | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2013-05-17 |
| 1003125410 | Melanie Jai Woods | Nurse Practitioner | 100 S Madison St, Thomasville, GA 31792-5473 | 2010-10-03 |
| 1437193927 | Keith W Munoz Sr. | Physician Assistant | 100 S Madison St, Thomasville, GA 31792-5473 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277754 | Delphine Sitsofe Ayivor | Clinical Nurse Specialist | 9264 Garrett Lake Dr, Midland, GA 31820-4446 | 2016-11-14 |
| 1235545617 | Home Physician Care of Northwest Georgia, LLC | Clinical Nurse Specialist | 1825 Mcentire Cir, Chatsworth, GA 30705-5945 | 2014-07-07 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1326372616 | Rita Karen Driver | Clinical Nurse Specialist | 4221 River Bottom Dr, Peachtree Corners, GA 30092-1377 | 2009-09-20 |
| 1699169292 | Ruth Helen Sidor | Clinical Nurse Specialist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2015-03-23 |
| 1821418369 | John Brueshaber Jr. | Clinical Nurse Specialist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2014-04-23 |
| 1043633084 | Nanyoung Park | Clinical Nurse Specialist | 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | 2014-01-28 |
| 1740629443 | Betty Lou Yul Riner | Clinical Nurse Specialist | 1005 Boulder Dr, Gray, GA 31032 | 2013-06-17 |
| 1053673129 | Deon V Hutchison | Clinical Nurse Specialist | 777 Hemlock St, Msc 27, Macon, GA 31201-2102 | 2012-06-13 |
| 1508125808 | Minaz Khetani | Clinical Nurse Specialist | 35 Collier Rd Nw, Suite 775, Atlanta, GA 30309-1613 | 2012-05-08 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.