LISA MARIE BEAVERS (NPI# 1700373289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700373289 |
| Entity Type | Individual |
| Full Name | LISA MARIE BEAVERS |
| Other Name | LISA MARIE DVORAK |
| Credential | CRNP |
| Practice Address |
106 Bow St Elkton MD 21921-5544 |
| Mailing Address |
2100 Chelmsford Cir Newark DE 19713-2912 |
| Practice Telephone | 4103984000 |
| Mailing Telephone | 3022752859 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001179 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC002264 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716843 | Lisa Ann Beavers | Counselor | 1231 A 17th Ave S., Nashville, TN 37212 | 2011-01-07 |
| Street Address |
106 BOW ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159381 | Professional Diagnostics, LLC | Pathology | 106 Bow St, Elkton, MD 21921-5544 | 2005-07-21 |
| 1518580687 | Megan Dawson Hunt | Occupational Therapist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-24 |
| 1053934406 | Bhrugisha R Patel | Pharmacist | 106 Bow St, Elkton, MD 21921-5596 | 2020-05-20 |
| 1255953055 | Sean Reilly | Pharmacist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-14 |
| 1275161408 | Dominic M Omwenga | Nurse Practitioner | 106 Bow St, Elkton, MD 21921-5544 | 2020-04-01 |
| 1346717790 | Maura Ann Tunney | Social Worker | 106 Bow St, Elkton, MD 21921-5544 | 2018-10-24 |
| 1922598929 | Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2018-05-15 |
| 1417445610 | Union Hospital of Cecil County Health Services, Inc. | Pharmacy | 106 Bow St, Elkton, MD 21921-5544 | 2018-04-24 |
| 1861908634 | William R Steward Jr. | Social Worker | 106 Bow St, Elkton, MD 21921-5544 | 2017-12-15 |
| 1982139119 | Olumide T Omobo | Student in an Organized Health Care Education/Training Program | 106 Bow St, Elkton, MD 21921-5544 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696303 | Tera J Gwaldis | Nurse Practitioner | 4570 County Road 13 S, Elkton, FL 32033-3402 | 2020-10-15 |
| 1558920488 | Dana Nall | Nurse Practitioner | 713 West Main Street Eklton, Ky 42220, Elkton, KY 42350 | 2019-06-13 |
| 1891299228 | Christina M Dotson | Nurse Practitioner | 4545 Golf Ridge Dr, Elkton, FL 32033-4011 | 2018-03-21 |
| 1215486972 | Betty J. Battaglia | Nurse Practitioner | 90 Clear Creek Gln, Elkton, MD 21921-6764 | 2016-09-22 |
| 1225429384 | Cagney Skipworth | Nurse Practitioner | 13000 Greenville Rd, Elkton, KY 42220-9625 | 2015-02-11 |
| 1669874632 | Loriann Washburn | Nurse Practitioner | 104 Northside Plz, Elkton, MD 21921-5320 | 2014-09-22 |
| 1558779702 | Ann Herford | Nurse Practitioner | 491 N Elkton Rd, Elkton, MI 48731-9727 | 2014-07-31 |
| 1316369721 | Joy Ponferrada Magee | Nurse Practitioner | 300 E Pulaski Hwy Ste 112, Elkton, MD 21921-6737 | 2014-01-21 |
| 1851733992 | Sarah Ashley Beam | Nurse Practitioner | 810 South Main Street, Elkton, KY 42220-0263 | 2013-07-17 |
| 1619241072 | Melissa Ann Hackett | Nurse Practitioner | 111 High Str, Suite 104, Elkton, MD 21921 | 2012-03-02 |
| Find all providers in ELKTON | ||||
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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.