LISA CONNELLY (NPI# 1710428461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710428461 |
| Entity Type | Individual |
| Full Name | LISA CONNELLY |
| Credential | FNP-C |
| Practice Address |
420 W 15th Ave Emporia KS 66801-5367 |
| Mailing Address |
1505 W 4th St Coffeyville KS 67337-3307 |
| Practice Telephone | 6202512400 |
| Practice Fax Number | 6202511619 |
| Mailing Telephone | 6202512400 |
| Mailing Fax Number | 6202511619 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
77645 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050512 | Lisa Marie Connelly | Counselor | 303 Jackson Hill St, Houston, TX 77007 | 2018-07-24 |
| 1922471473 | Lisa A Connelly | Specialist/Technologist | 2751 2nd Ave N, Hyslop Sport Center Room 144, Grand Forks, ND 58202-6060 | 2015-11-05 |
| 1952572620 | Lisa Dianne Connelly | Counselor | 7254 E Southern Ave, Suite 123, Mesa, AZ 85209-2786 | 2008-03-20 |
| Street Address |
420 W 15TH AVE |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-5367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659359297 | Lynn A Cramer | Dentist | 420 W 15th Ave, Emporia, KS 66801-5367 | 2006-01-04 |
| 1114566684 | Luz Dary Horton | Dentist | 420 W 15th Ave, Emporia, KS 66801-5367 | 2020-01-02 |
| 1720633019 | Samantha Jo Zimmerman | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2019-08-05 |
| 1487135836 | Anita M Isbell-graham | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-08-23 |
| 1447740642 | Rachel S Glidden | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-05-14 |
| 1982141446 | Myra Anne Johnson | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2017-01-23 |
| 1740616788 | Erin A Burns | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2013-09-23 |
| 1962774166 | Joyce Ann Shively | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2012-02-02 |
| 1194005306 | Evelyn V Smith | Social Worker | 420 W 15th Ave, Emporia, KS 66801-5367 | 2011-08-18 |
| 1780988063 | Amy Lynn Seimears | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2010-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
| 1316485444 | Angela Price | Nurse Practitioner | 2509 W 18th Ave, Emporia, KS 66801-6105 | 2017-02-09 |
| 1033754049 | Kelly Vargo Byers | Nurse Practitioner | 6 Doctors Dr, Emporia, VA 23847-1240 | 2019-11-13 |
| 1720633019 | Samantha Jo Zimmerman | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2019-08-05 |
| 1962978171 | Daneca Shontaye Haggard | Nurse Practitioner | 510 N Main St, Emporia, VA 23847-1236 | 2018-10-16 |
| 1487135836 | Anita M Isbell-graham | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-08-23 |
| 1447740642 | Rachel S Glidden | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801 | 2018-05-14 |
| 1407367071 | Amy W. Hobbs | Nurse Practitioner | 727 N Main St, Emporia, VA 23847-1274 | 2017-10-23 |
| 1841716016 | Lindsey Ratcliff | Nurse Practitioner | 2509 W 18th Ave, Emporia, KS 66801-6105 | 2017-08-18 |
| 1659896348 | Amanda Miller Temple | Nurse Practitioner | 511 Belfield Dr, Emporia, VA 23847-1217 | 2017-08-03 |
| Find all providers in EMPORIA | ||||
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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.