LISA RENAE DOUGLAS (NPI# 1639281959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639281959 |
| Entity Type | Individual |
| Full Name | LISA RENAE DOUGLAS |
| Other Name | LISA RENAE LUNDEEN |
| Credential | MHPP |
| Practice Address |
12 W Sunbridge Dr Fayetteville AR 72703-1822 |
| Mailing Address |
Po Box 6430 Springdale AR 72766-6430 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4798722441 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4798722441 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280085 | Lisa Douglas | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| 1972943124 | Lisa Marie Douglas | Marriage & Family Therapist | 2002 Vanderbilt Ln Apt C, Redondo Beach, CA 90278-3062 | 2013-07-02 |
| 1770921447 | Lisa Marie Douglas | Specialist | 1421 N Washington St, Forrest City, AR 72335-2146 | 2013-06-04 |
| 1881686681 | Lisa Douglas | Pharmacist | 977b Taylor St Sw, Conyers, GA 30012-5357 | 2005-08-17 |
| 1760842215 | Lisa Douglas | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-25 |
| 1376762914 | Lisa Douglas | Counselor | 7464 W Sahara Ave, Las Vegas, NV 89117-2740 | 2007-04-24 |
| Street Address |
12 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386752400 | Karen Kirchman Harris | Counselor | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-08-28 |
| 1447318555 | Devis Lynne Fruchtl | Case Manager/Care Coordinator | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-12-04 |
| 1154418028 | Sarah Ashlee Curry | Social Worker | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-10-10 |
| 1336241132 | Heather Ann Fox | Social Worker | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-09-02 |
| 1750483566 | Jennifer Deeker Wardlow | Counselor | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-09-02 |
| 1922100882 | Nathan Charles Jensen | Counselor | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-09-02 |
| 1578665360 | Lynnie Sue Lanier | Social Worker | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1528466679 | Kelly Teed | Genetic Counselor, MS | 1267 Highway 54 W, Suite 4000, Fayetteville, GA 30214-2114 | 2014-12-05 |
| 1669546867 | Noelle R Agan | Genetic Counselor, MS | 2907 E Joyce Blvd, Bldg II, Fayetteville, AR 72703-5011 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114467412 | Julie Anna Kaylor | Genetic Counselor, MS | 29 Leisurewood Ln, Maumelle, AR 72113-6208 | 2017-03-06 |
| 1639540354 | Mary Williams | Genetic Counselor, MS | 4301 W. Markham St. #514, Little Rock, AR 72205-7199 | 2015-10-08 |
| 1841675121 | Marianne Lotito | Genetic Counselor, MS | 8901 Carti Way Ste 202, Little Rock, AR 72205-6523 | 2015-07-28 |
| 1205222007 | Melinda Elizabeth Simonson | Genetic Counselor, MS | 4301 W. Markham St. Slot #793, Little Rock, AR 72205-7199 | 2015-04-09 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1396758975 | Edward Sylvester Coleman | Genetic Counselor, MS | 2466 S. 48 St, Springdale, AR 72762 | 2006-08-14 |
| 1902819683 | Tina Michele Mcclure | Genetic Counselor, MS | 2466 South 48th St., Springdale, AR 72762 | 2006-08-14 |
| 1760410740 | Cynthia Lim | Genetic Counselor, MS | 800 Marshall St # 512-22, Little Rock, AR 72202-3510 | 2006-06-29 |
| 1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
| 1609819549 | Patrick Michael Pinoy | Genetic Counselor, MS | 2205 Phyllis, Bentonville, AR 72712 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.