MRS. LISA CHRISTINE CONDEFER-SMITH (NPI# 1710258033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710258033 |
| Entity Type | Individual |
| Full Name | MRS. LISA CHRISTINE CONDEFER-SMITH |
| Credential | NP |
| Practice Address |
88 Tioga Ave Suite 102 Corning NY 14870 |
| Mailing Address |
88 Tioga Ave. Suite 102 Corning NY 14870 |
| Practice Telephone | 6076846115 |
| Practice Fax Number | 6076846120 |
| Mailing Telephone | 6076846115 |
| Mailing Fax Number | 6076846120 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F380998-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
88 TIOGA AVE SUITE 102 |
| City | CORNING |
| State | NY |
| Zip Code | 14870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922123629 | James Leo Schuppert | Internal Medicine | 88 Tioga Ave, Corning, NY 14831-0001 | 2007-03-20 |
| 1205185568 | Judy Toombs | Home Health | 88 Tioga Ave, Corning, NY 14830-2858 | 2012-09-02 |
| 1366725095 | Rusty Mae Hakes | Licensed Practical Nurse | 88 Tioga Ave, Corning, NY 14830-2858 | 2011-09-20 |
| 1508166448 | Nacole Headrick | Registered Nurse | 88 Tioga Ave, Corning, NY 14830-2858 | 2010-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609615 | Heather Stempin | Psychologist | 165 Charles Street, Painted Post, NY 14870 | 2017-03-08 |
| 1548641723 | Jennifer Graham | Social Worker | 9579 Vocational Drive G St Boces, Painted Post, NY 14870 | 2015-06-14 |
| 1336419779 | Kim M Dahl | Registered Nurse | 3414 Stanton Street, Painted Post, NY 14870 | 2012-01-03 |
| 1285910372 | Helen Elizabeth Schimizzi | Registered Nurse | 3414 Stamton St. Extension, Painted Post, NY 14870 | 2011-11-02 |
| 1487962742 | Jennifer Ann Glosenger | Speech-Language Pathologist | 3414 Stanton St, Calvin U Smith Elementary School, Painted Post, NY 14870 | 2010-09-21 |
| 1871734681 | Margene May Tichane | Family Medicine | 511 N. Hamilton St., Painted Post, NV 14870 | 2009-03-09 |
| 1154443273 | Donald D. Smith D.m.d.,pc | Dentist | 174 Village Square, Painted Post, NY 14870 | 2007-04-06 |
| 1003902263 | Valerie Jean Hammond | Dietitian, Registered | 9768 Liberty Drive, Painted Post, NY 14870 | 2006-10-05 |
| 1275506503 | David Kenneth Austin | Orthopaedic Surgery | 9768 Liberty Dr, Painted Post, NY 14870 | 2006-02-08 |
| 1144553736 | Elizabeth Hageman | Pharmacist | 76 Veterans Ave, Bath Va Medical Center, Bath, NY 14870 | 2009-09-14 |
| Find all providers in zip 14870 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003203274 | Jennifer Sue Young | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422-1716 | 2015-04-24 |
| 1982663456 | Kathleen M. Gallaway | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2255 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.