MS. LISA DIANE VATANI (NPI# 1790110690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790110690 |
| Entity Type | Individual |
| Full Name | MS. LISA DIANE VATANI |
| Credential | PA-C |
| Practice Address |
59 La Costa Dr Montgomery TX 77356-5352 |
| Practice Telephone | 2816609499 |
| Practice Fax Number | 9365825075 |
| Mailing Telephone | 2816609499 |
| Mailing Fax Number | 9365825075 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01142 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
59 LA COSTA DR |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1154803179 | Ashley Goad | Physician Assistant | 269 Lakeside Hills Dr, Montgomery, TX 77316-6895 | 2018-09-06 |
| 1831550003 | Ruchi Patel | Physician Assistant | 2060 Berryhill Road, Montgomery, AL 36117 | 2016-03-15 |
| 1346600939 | Patrick Tyler Pair | Physician Assistant | 440 Taylor Rd Ste 3380, Montgomery, AL 36117-3587 | 2016-02-25 |
| 1720403066 | Suzanne Cullers | Physician Assistant | 18059 Highway 105 W Ste 120, Montgomery, TX 77356-5001 | 2014-02-24 |
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1235488289 | Kristin L Sponaugle | Physician Assistant | 1898 Mulberry St, Montgomery, AL 36106-1526 | 2012-09-06 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1184680431 | Trudie Dianne Seirafi | Physician Assistant | 4250 Carmichael Ct N, Montgomery, AL 36106-2874 | 2006-04-25 |
| 1780652503 | Ryan James Sellers | Physician Assistant | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-03-09 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
Please comment or provide details below to improve the information on MS. LISA DIANE VATANI.
| 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.