LISA RENEA CARR (NPI# 1629608070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629608070 |
| Entity Type | Individual |
| Full Name | LISA RENEA CARR |
| Practice Address |
2400 Lancaster Dr Ne Salem OR 97305-1221 |
| Practice Telephone | 5033704313 |
| Mailing Telephone | 5033704313 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | A9541 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1437556859 | Lisa Carr | Pharmacist | 113 Ambleside Dr, Leesburg, GA 31763-5346 | 2014-12-01 |
| 1730517483 | Lisa Isabell Carr | Specialist | 2105 Mastin Lake Rd Nw Ste J, Huntsville, AL 35810-2861 | 2013-10-16 |
| 1265778211 | Lisa Carr | Licensed Practical Nurse | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2012-12-19 |
| 1033439021 | Lisa M Carr | Behavioral Analyst | 17 Seven Oaks Cir, Madison, NJ 07940-1313 | 2010-06-02 |
| 1760993240 | Lisa Carr | Speech-Language Pathologist | 12708 Riata Vista Cir, Austin, TX 78727-7167 | 2017-10-23 |
| 1639496888 | Lisa Ann Carr | Speech-Language Pathologist | 226 S. Woods Mill Rd., Suite 37w, Chesterfield, MO 63017-3442 | 2010-04-28 |
| 1225353345 | Lisa R Carr | Social Worker | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2010-03-31 |
| 1376693259 | Lisa Elaine Carr | Speech-Language Pathologist | 704 Longmire Rd, Suite 101, Conroe, TX 77304-1850 | 2007-01-11 |
| 1336259480 | Lisa Sibert Carr | Internal Medicine | 151 Everett Avenue, Chelsea Healthcare Center, Chelsea, MA 02150-1807 | 2006-08-30 |
| Street Address |
2400 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1316594989 | Marisa Hopkins | Social Worker | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2019-08-19 |
| 1346715836 | Stephen Kuang | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2018-10-10 |
| 1679003313 | Christina Nguyen | Optometrist | 2400 Lancaster Dr Ne, Salem, OR 97305 | 2017-06-15 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1518419464 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-26 |
| 1083166029 | Alison J Green | Nurse Practitioner | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-25 |
| 1588119515 | Eloisa Chaudhary | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-08-19 |
| 1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
| 1972973253 | Tyron James Sinn | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| 1295366698 | Noeun Nom | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1427689843 | Cynthia Younkin | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-02-04 |
| 1285264978 | Stacy Marie Dunnihoo | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-22 |
| 1407486558 | Heidi Kae Mort | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2020-01-16 |
| 1356981203 | Sharon Kay Rice | Dental Assistant | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2020-01-08 |
| 1346705647 | Alina Ferguson | Dental Assistant | 5135 Skyline Rd S, Salem, OR 97306-9427 | 2019-01-31 |
| Find all providers in SALEM | ||||
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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.