DR. LISA ANN WYNKOOP (NPI# 1790079705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790079705 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN WYNKOOP |
| Credential | D.C. |
| Practice Address |
1092 Laskin Rd Ste 102 Virginia Beach VA 23451-6362 |
| Practice Telephone | 7575180960 |
| Practice Fax Number | 7575180965 |
| Mailing Telephone | 7575180960 |
| Mailing Fax Number | 7575180965 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001748 | VA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334386 | Lisa Anne Wynkoop | Physical Therapy Assistant | 391 Clark Dr, Circleville, OH 43113-1561 | 2007-05-11 |
| Street Address |
1092 LASKIN RD STE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-6362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1831733310 | Kenneth Ross Ellul | Chiropractor | 2236 General Booth Blvd Ste 110, Virginia Beach, VA 23456-4092 | 2019-10-29 |
| 1376190520 | Ralph Nebling | Chiropractor | 917 Horseshoe Ct, Virginia Beach, VA 23451-5924 | 2019-08-22 |
| 1659934891 | Krista Frank | Chiropractor | 4640 Shore Dr Ste 108, Virginia Beach, VA 23455-2859 | 2019-04-14 |
| 1518455484 | Scott M. Ponquinette | Chiropractor | 633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200 | 2018-04-26 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1245756717 | Adam Blower | Chiropractor | 1932 Kempsville Rd Ste 103, Virginia Beach, VA 23464-6954 | 2017-08-16 |
| 1700226610 | Lightkeeper Chiropractic Pllc | Chiropractor | 325 First Colonial Rd, Suite A, Virginia Beach, VA 23454-4665 | 2013-06-25 |
| 1871837294 | Justin Quail LLC | Chiropractor | 4740 Baxter Rd Ste 109, Virginia Beach, VA 23462-4484 | 2012-11-26 |
| 1134463730 | Parmiter Inc | Chiropractor | 5072 Ferrell Pkwy, Virginia Beach, VA 23464-8894 | 2012-11-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
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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.