MRS. LISA SUE MCCLOUD (NPI# 1780132571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780132571 |
| Entity Type | Individual |
| Full Name | MRS. LISA SUE MCCLOUD |
| Credential | FNP-BC |
| Practice Address |
184 E 2nd Ave Williamson WV 25661-3602 |
| Mailing Address |
184 East 2nd Ave Williamson WV 25661 |
| Practice Telephone | 3042352930 |
| Practice Fax Number | 3042354202 |
| Mailing Telephone | 3042352930 |
| Mailing Fax Number | 3042354202 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
61706 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | ANCC CERTIFICATION # | 2016009648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255747 | Lisa Mccloud | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2018-05-14 |
| Street Address |
184 E 2ND AVE |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174575898 | Christopher Donovan Beckett | Family Medicine | 184 E 2nd Ave, Suite 1, Williamson, WV 25661-3602 | 2006-05-17 |
| 1730586470 | Gina Justice | Social Worker | 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | 2014-11-24 |
| 1255748166 | Sidney Jerome Cline | Nurse Practitioner | 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | 2014-07-14 |
| 1407281132 | Lab One of Ohio Inc | Clinical Medical Laboratory | 184 E 2nd Ave, Williamson, WV 25661-3602 | 2013-09-12 |
| 1467711150 | Williamson Health & Wellness Center Inc | Clinic/Center | 184 E 2nd Ave, Suite 210, Williamson, WV 25661-3602 | 2012-05-15 |
| 1932434149 | Comprehensive Health Solutions, Pllc | Family Medicine | 184 E 2nd Ave, Suite 1, Williamson, WV 25661-3602 | 2009-10-05 |
| 1902039472 | Zauher Karim-mahalati | Acupuncturist | 184 E 2nd Ave, C/o Chantilly Health & Wellness, Williamson, WV 25661 | 2009-08-31 |
| 1497971212 | Leo Pantilla Pajarillo | Pediatrics | 184 E 2nd Ave, Suite 210, Williamson, WV 25661-3602 | 2007-04-18 |
| 1437257326 | Radha V Kudva | Pediatrics | 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196455 | Cheryl A Green | Clinical Nurse Specialist | 70 Technology Ln, Cowen, WV 26206-3702 | 2017-03-30 |
| 1811220643 | Preston Health Care Services LLC | Clinical Nurse Specialist | 1343 N Preston Hwy, Kingwood, WV 26537-7633 | 2009-09-11 |
| 1679946206 | Bria A Mckee | Clinical Nurse Specialist | 5170 Us Rt 60 East, Huntington, WV 25705 | 2015-11-04 |
| City | WILLIAMSON |
| Zip Code | 25661 |
Please comment or provide details below to improve the information on MRS. LISA SUE MCCLOUD.
| 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.