LISA CARROLL WAGONER (NPI# 1720438963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720438963 |
| Entity Type | Individual |
| Full Name | LISA CARROLL WAGONER |
| Other Name | LISA HARGETT WAGONER |
| Credential | RN, COHN-S |
| Practice Address |
5444 Fullerton Cir Highlands Ranch CO 80130-6642 |
| Practice Telephone | 9104098509 |
| Mailing Telephone | 9104098509 |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN.1632465 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821405952 | Lisa I Wagoner | Counselor | 905 Friedberg Church Rd, Winston Salem, NC 27127-9803 | 2014-07-21 |
| 1386903771 | Lisa Jane Wagoner | Case Manager/Care Coordinator | 316 Main St, Lake Village, AR 71653-1942 | 2012-05-07 |
| 1609164060 | Lisa Kroenung Wagoner | Pharmacist | 2017 W Webb Ave, Burlington, NC 27217-1063 | 2011-07-19 |
| Street Address |
5444 FULLERTON CIR |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80130-6642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650046 | Lynn Rickman | Lactation Consultant, Non-RN | 11060 Woodhurst Circle, Highlands Ranch, CO 80130 | 2012-09-05 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1467755108 | Laurie Maxine Sands | Social Worker | 9870 S. Colorado Blvd, Suite A-10, Highlands Ranch, CO 80130 | 2010-12-20 |
| 1598095879 | Mary Kay Kennedy | Counselor | 2121 E Dad Clark Drive, Highlands Ranch, CO 80130 | 2010-01-08 |
| 1609052869 | Lacey Mashinter | Social Worker | 8671 South Quebec St, Ste 200, Highlands Ranch, CO 80130 | 2008-01-17 |
| 1063559334 | Beth Ballen | Psychiatry & Neurology | 8671 S. Quebec St., Ste 200, Highland Ranch, CO 80130 | 2007-01-30 |
| 1326133216 | Uhs of Denver, Inc. | Psychiatric Hospital | 8565 S. Poplar Way, Littleton, CO 80130 | 2006-10-04 |
| 1326074519 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 8673 S Quebec St, Highlands Ranch, CO 80130 | 2006-06-23 |
| 1437192671 | Charles Hazlehurst | Psychologist | 8565 South Poplar Way, Littleton, CO 80130 | 2006-06-14 |
| 1740279504 | Elizabeth Brooke Spencer | Radiology | 8671 S Quebec St Ste 200, Highlands Ranch, CO 80130 | 2005-10-14 |
| Find all providers in zip 80130 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360367 | Rejane Gabriella Branch | Registered Nurse | 19448 E 59th Ave, Aurora, CO 80019-2009 | 2019-01-17 |
| 1629582952 | Yeong Richardson | Registered Nurse | 2060 S Havana St, Aurora, CO 80014-1014 | 2017-11-22 |
| 1114462421 | Tamera Ruschelle Martin | Registered Nurse | 16352 Parkside Dr, Parker, CO 80134-3742 | 2016-12-21 |
| 1588055487 | Cheryl Read | Registered Nurse | 15690 Akron St, Brighton, CO 80602-8682 | 2015-02-12 |
| 1972859387 | Cheryl Maybelle Curtis | Registered Nurse | 19814 E Greenwood Dr, Aurora, CO 80013-3709 | 2012-08-03 |
| 1396005443 | Mary Randolph | Registered Nurse | 497 West 4th Street, Dove Creek, CO 81324-0368 | 2012-05-23 |
| 1487975025 | Lisa M Kane | Registered Nurse | 12660 Esperanza Ct, Castle Rock, CO 80108-8161 | 2010-06-17 |
| 1104140433 | Marcie Dawn Cooper | Registered Nurse | 2264 Castlegate Dr N, Apt 731, Castle Rock, CO 80108-8340 | 2010-03-15 |
| 1962732545 | Lucille A. Fitzharris | Registered Nurse | 3167 S Vine Ct, Englewood, CO 80113-3070 | 2010-01-05 |
| 1659403996 | Jacqueline Marie Brown | Registered Nurse | 100 Kendall Dr, Lamar, CO 81052-3901 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80130 |
Please comment or provide details below to improve the information on LISA CARROLL WAGONER.
| 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.