LISA HALL MCDONALD (NPI# 1770825747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770825747 |
Entity Type | Individual |
Full Name | LISA HALL MCDONALD |
Other Name | LISA DIANE VILLABONA |
Credential | NP |
Practice Address |
2540 Centreville Rd Centreville MD 21617-2681 |
Mailing Address |
Po Box 778 Easton MD 21601-8914 |
Practice Telephone | 4107584432 |
Practice Fax Number | 4107581938 |
Mailing Telephone | 4107638787 |
Mailing Fax Number | 4107638788 |
Enumeration Date | 2013-03-18 |
Last Update Date | 2019-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R118699 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649754128 | Lisa Mcdonald | Social Worker | 9 Fern Way, Bedford, MA 01730-2103 | 2018-09-20 |
1497234470 | Lisa Mcdonald | Registered Nurse | 6919 Dusty Dawn Dr, Houston, TX 77086-2118 | 2018-08-09 |
1427560879 | Lisa Guerini Mcdonald | Registered Nurse | 108 W 174th St, Bronx, NY 10453 | 2017-10-25 |
1679621924 | Lisa Grace Mcdonald | Speech-Language Pathologist | 300 Ferguson Building, University of North Carolina At Greensboro, Greensboro, NC 27402-6170 | 2007-01-05 |
1548343544 | Lisa J. Mcdonald | Dentist | 7247 Delmar Blvd, Saint Louis, MO 63130-4105 | 2006-10-23 |
1770691016 | Lisa L Mcdonald | Licensed Vocational Nurse | 16 St Edmunds Way, Ellenburg, NY 12933-9998 | 2006-08-28 |
1821631797 | Lisa Mcdonald | Social Worker | 624 Nw 5th St, Moore, OK 73160-3924 | 2019-10-23 |
1912417478 | Lisa C Mcdonald | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2017-10-10 |
1730629080 | Lisa Therese Mcdonald | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-03-06 |
1295156693 | Lisa Mcdonald | Counselor | 1492 W Flagler St, Miami, FL 33135-2209 | 2014-01-02 |
Street Address |
2540 CENTREVILLE RD |
City | CENTREVILLE |
State | MD |
Zip Code | 21617-2681 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598759706 | Michael Gasparovich | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2005-09-02 |
1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
1982841698 | Delmarva Orthopaedic Clinic, P.a. | Physical Medicine & Rehabilitation | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2009-01-16 |
1366524365 | Michell M Jordan | Nurse Practitioner | 2540 Centreville Rd, Centreville, MD 21617 | 2006-10-19 |
1962430728 | Jeffrey L Ukens | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2006-06-29 |
1659334852 | Valerie Ellen Goodman | Family Medicine | 2540 Centreville Rd, Centreville, MD 21617-2681 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
Find all providers in zip 21617 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811542764 | Global Family Medicine LLC | Nurse Practitioner | 14073 Lotus Ln Apt 915, Centreville, VA 20120-7402 | 2019-08-07 |
1346809985 | Rajwinder Kaur Sohi | Nurse Practitioner | 14562 Old Mill Rd, Centreville, VA 20121-6217 | 2019-06-07 |
1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
1538554076 | Patricia Lee | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2015-04-01 |
1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
1982761078 | Candace S Cane | Nurse Practitioner | 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 | 2007-01-02 |
1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 21617 |
Please comment or provide details below to improve the information on LISA HALL MCDONALD.
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.