LISA ZAWALSKI (NPI# 1780631341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780631341 |
| Entity Type | Individual |
| Full Name | LISA ZAWALSKI |
| Credential | NP |
| Practice Address |
1 Pinnacle Place Suite 102 Pinnacle Behavioral Health Albany NY 12203-3001 |
| Mailing Address |
246 S 3rd Ave Ilion NY 13357-2402 |
| Practice Telephone | 5186890244 |
| Practice Fax Number | 5186890241 |
| Mailing Telephone | 2078122761 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2297629 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400743-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP81195 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINECARE NUMBER | 432184599 | 01 |
| Street Address |
1 PINNACLE PLACE SUITE 102 PINNACLE BEHAVIORAL HEALTH |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513557 | Sabrina Powell-cobb | Nurse Practitioner | 2304 W Gordon Ave Apt 122, Albany, GA 31707-4602 | 2019-05-14 |
| 1285133603 | Patricia Hayden Schiller | Nurse Practitioner | 16 Computer Dr W Ste 103, Albany, NY 12205-1624 | 2018-02-12 |
| 1366847246 | Sage College Wellness Center - Albany | Nurse Practitioner | 140 Nw Scotland Ave, Albany, NY 12208 | 2014-11-04 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1598918161 | Maureen Mary Masterson | Nurse Practitioner | 75 New Scotland Avenue, Capital District Psychiatric Center, Albany, NY 12208-3409 | 2008-10-28 |
| 1760539357 | Penny Lee Stute | Nurse Practitioner | 3311 Madison St Se, Albany, OR 97322-4151 | 2007-01-04 |
| 1801961669 | Marilyn Anne Vondollen | Nurse Practitioner | 1471 Western Ave, Albany, NY 12203-3512 | 2006-11-21 |
| 1790306579 | Katherine Rose Hiles | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-03 |
| 1982246310 | Jennifer Marsden Kekis | Nurse Practitioner | 260 S Pearl St, Albany, NY 12202-1809 | 2019-10-17 |
| 1366912537 | Taylor Gamble | Nurse Practitioner | 601 11th Ave, Albany, GA 31701-1645 | 2018-11-30 |
| Find all providers in ALBANY | ||||
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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.