DR. LISA DIANE FAIRWEATHER (NPI# 1720031404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720031404 |
| Entity Type | Individual |
| Full Name | DR. LISA DIANE FAIRWEATHER |
| Other Name | DR. LISA DIANE ALLOJU |
| Credential | D.O. |
| Practice Address |
5601 Bridge St. #324 Ft. Worth TX 76112 |
| Practice Telephone | 8174574646 |
| Practice Fax Number | 8174927135 |
| Mailing Telephone | 8174574646 |
| Mailing Fax Number | 8174927135 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
L6256 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175470702 | 05 |
| Street Address |
5601 BRIDGE ST. #324 |
| City | FT. WORTH |
| State | TX |
| Zip Code | 76112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LISA DIANE FAIRWEATHER.
| 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.