LISA L MATHER (NPI# 1689979510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689979510 |
| Entity Type | Individual |
| Full Name | LISA L MATHER |
| Credential | LPN, IBCLC, RLC |
| Practice Address |
12515 Cedar Fall Drive Huntersville NC 28078 |
| Mailing Address |
12525 Cedar Fall Dr Huntersville NC 28078 |
| Practice Telephone | 9802135867 |
| Mailing Telephone | 9802135867 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 049048 | NC | Nursing Service Providers |
| Y | 174400000X | Specialist | 101-117460 | NC | Other Service Providers |
| Street Address |
12515 CEDAR FALL DRIVE |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073046900 | Hps Carolinas | Specialist | 9735 Kincey Ave Ste 302, Huntersville, NC 28078-9120 | 2017-04-07 |
| 1720252802 | Todd Brooks | Specialist | 14615 Holly Springs Dr, Huntersville, NC 28078-3271 | 2008-04-18 |
| 1871781781 | North Charlotte Plastic Surgery | Specialist | 13620 Reese Blvd East Bldg Xii, Suite 110, Huntersville, NC 28078 | 2007-10-05 |
| 1457554537 | Michael Paul Girouard | Specialist | 16507 Northcross Dr. Ste F, Huntersville, IN 28078-5082 | 2007-06-07 |
| 1023167210 | Pamela Orf | Specialist | 16904 Glassfield Dr, Huntersville, NC 28078-5299 | 2007-01-09 |
| 1932141363 | Rosedale Psychiatry Pa | Specialist | 10225 Hickorywood Hill Ave, Huntersville, NC 28078-3307 | 2006-06-11 |
| 1043209646 | Amy N Scala | Specialist | 14330 Oakhill Park Ln, Suite 115, Huntersville, NC 28078-3314 | 2005-10-17 |
| 1295737583 | Reid Douglas Breckwoldt | Specialist | 9533 Devonshire Dr, Huntersville, NC 28078-5868 | 2005-06-01 |
| 1598020497 | North Carolina Neurology and Sleep Pllc | Specialist | 403 Gilead Rd, Suite B, Huntersville, NC 28078-6813 | 2012-07-07 |
| 1336455674 | Southern Oncology Specialists, Pllc | Specialist | 10030 Gilead Rd, Suite 290, Huntersville, NC 28078 | 2010-08-24 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.