LISA SHALLIS (NPI# 1679049597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679049597 |
| Entity Type | Individual |
| Full Name | LISA SHALLIS |
| Credential | CRNP |
| Practice Address |
35 Monument Rd Ste 202 York PA 17403-5074 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178512722 |
| Practice Fax Number | 7178513127 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP019225 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Martin Ave Ste 105, Ephrata, PA 175221761 | 8662443492 | 7178595637 |
| 845 Helen Dr Ste 200, Lebanon, PA 170427493 | 8662443492 | 7178595637 |
| Street Address |
35 MONUMENT RD STE 202 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409146 | Robert B Gherman | Obstetrics & Gynecology | 35 Monument Rd Ste 202, York, PA 17403-5074 | 2006-08-01 |
| 1467092338 | Alexandra Francine Oliver | Registered Nurse | 35 Monument Rd Ste 202, York, PA 17403-5074 | 2020-01-08 |
| 1033753181 | Aubrey Cole | Physician Assistant | 35 Monument Rd Ste 202, York, PA 17403-5074 | 2019-11-01 |
| 1902203573 | James Michael O'brien | Obstetrics & Gynecology | 35 Monument Rd Ste 202, York, PA 17403-5074 | 2014-11-26 |
| 1568522134 | Seemanthini Hariharan | Obstetrics & Gynecology | 35 Monument Rd Ste 202, York, PA 17403 | 2006-12-12 |
| 1073695045 | Kelley D. Clark | Obstetrics & Gynecology | 35 Monument Rd Ste 202, York, PA 17403-5074 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770922528 | Isherwood's Women's Health & Wellness, LLC | Nurse Practitioner | 1934 Security Dr, York, PA 17402-4727 | 2013-06-14 |
| 1770729915 | Karen K Newell | Nurse Practitioner | 1880 Kenneth Rd Ste 3, York, PA 17408-6344 | 2008-12-17 |
| 1073154308 | Nicole Lea Thomas | Nurse Practitioner | 1880 Kenneth Rd Ste 3, York, PA 17408-6344 | 2019-10-08 |
| 1609249432 | Melissa Laidacker | Nurse Practitioner | 2050 S Queen St Ste 200, York, PA 17403-4829 | 2015-11-02 |
| 1861809568 | Adanma Okereh | Nurse Practitioner | 1693 S Queen St, York, PA 17403-4609 | 2014-07-15 |
| 1962820043 | Cheryl Knopp | Nurse Practitioner | 1101 Edgar St, Suite E, York, PA 17403-2862 | 2014-04-04 |
| 1730501313 | Tiffanie Michelle Kemp | Nurse Practitioner | 35 Monument Rd, Suite 204, York, PA 17403-5074 | 2014-01-15 |
| 1134372436 | Kimberly S Caple | Nurse Practitioner | 35 Monument Rd, Suite 202, York, PA 17403-5074 | 2008-10-30 |
| 1548355837 | Janet Linn Ashby | Nurse Practitioner | 1693 S Queen St, York, PA 17403-4609 | 2006-10-04 |
| 1578559977 | Deborah T Gobel | Nurse Practitioner | 1600 Sixth Avenue, Suite 117, York, PA 17403 | 2005-09-22 |
| Find all providers in YORK | ||||
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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.