LISA ANN WATKINS (NPI# 1669807970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669807970 |
| Entity Type | Individual |
| Full Name | LISA ANN WATKINS |
| Credential | CPNP |
| Practice Address |
1545 68th St Se Ste 100 Grand Rapids MI 49508-7896 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677881 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704265502 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355713 | Lisa Watkins | Technician | 23930 Parkland Ave, Moreno Valley, CA 92557-4945 | 2019-09-13 |
| 1003276973 | Lisa Watkins | Behavioral Analyst | 1104 Nw 10th #b, Oklahoma City, OK 73170 | 2016-03-04 |
| 1841443025 | Lisa Karen Watkins | Nurse Practitioner | 1850 Billings Dr, Bismarck, ND 58504-7251 | 2008-10-31 |
| 1336358985 | Lisa Anne Watkins | Licensed Practical Nurse | 25536 Claibourne Rd, Richwood, OH 43344-9225 | 2007-05-21 |
| 1528365541 | Lisa Z Watkins | Pharmacist | 2498 2nd Loop Rd, Florence, SC 29501-6162 | 2011-02-28 |
| 1700190436 | Lisa Sanford Watkins | Case Manager/Care Coordinator | 3700 Ross Ave, Box 96, Dallas, TX 75204-5422 | 2010-08-05 |
| 1861626749 | Lisa Watkins | Counselor | 16633 Dallas Pkwy, Suite 600, Addison, TX 75001-6816 | 2009-05-07 |
| Street Address |
1545 68TH ST SE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-7896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134673361 | Beth Ellen Shepherd | Social Worker | 1545 68th St Se Ste 100, Grand Rapids, MI 49508-7896 | 2016-08-04 |
| 1720468622 | Kara Anne Willoughby | Pediatrics | 1545 68th St Se Ste 100, Grand Rapids, MI 49508 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073772984 | Mary R. Holt | Nurse Practitioner | 935 Baxter St Se, Grand Rapids, MI 49506-2500 | 2008-06-05 |
| 1518020395 | Sarah K Little | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2006-12-19 |
| 1427568021 | Elizabeth Demaagd | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-10-09 |
| 1093237356 | Emily Alison Jandasek | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-07-08 |
| 1730628199 | Karly Rose Mcleod Hiser | Nurse Practitioner | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2017-02-17 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1477901759 | Maria Mccormick | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2016-05-27 |
| 1285006700 | Anna K Weller | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2015-10-23 |
| 1992149934 | Rebecca S Mccurdy | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2013-04-22 |
| 1265770010 | Jami Alyssa Rubin Pavlak | Nurse Practitioner | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2013-01-29 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on LISA ANN WATKINS.
| 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.