LISA T LEY (NPI# 1821094392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821094392 |
Entity Type | Individual |
Full Name | LISA T LEY |
Credential | PA-C |
Practice Address |
3400 W 66th St Ste 385 Edina MN 55435-2197 |
Practice Telephone | 9529202761 |
Mailing Telephone | 9529202761 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9570 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 135142700 | 05 | |
MN | BCBS MINNESOTA | 010D3KR | 01 |
Street Address |
3400 W 66TH ST STE 385 |
City | EDINA |
State | MN |
Zip Code | 55435-2197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033689674 | Nicholas Roffers | Speech-Language Pathologist | 3400 W 66th St, Edina, MN 55435-2111 | 2018-11-27 |
1003351156 | Lindsay Kuphal | Nurse Practitioner | 3400 W 66th St, Edina, MN 55435-2111 | 2016-12-28 |
1326410580 | Jody Bishop | Hearing Instrument Specialist | 3400 W 66th St, Ste 140, Edina, MN 55435-2109 | 2015-10-28 |
1730555889 | Danielle Bandholz | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2015-08-12 |
1780067033 | Katherine Marie Breezley | Registered Nurse | 3400 W 66th St, Edina, MN 55435-2111 | 2015-07-06 |
1861885881 | Connect Hearing, Inc. | Audiologist | 3400 W 66th St, Ste 140, Edina, MN 55435-2111 | 2015-03-16 |
1124419825 | Lauren Christine Bloomgren | Hearing Instrument Specialist | 3400 W 66th St, Suite 140, Edina, MN 55435-2111 | 2015-02-17 |
1346657160 | Fairview Health Services | Family Medicine | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2014-07-14 |
1821437955 | Sarah Watkins Lee | Registered Nurse | 3400 W 66th St, 290, Edina, MN 55435-2111 | 2013-06-21 |
1962756213 | Carol Fillmore | Nurse Practitioner | 3400 W 66th St, Edina, MN 55435-2111 | 2012-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
Find all providers in zip 55435 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821423781 | Sarah L Davis | Physician Assistant | 6405 France Ave S Ste 200, Edina, MN 55435 | 2013-09-11 |
1811239049 | Britney Dael Foster Busse | Physician Assistant | 3916 W 50th St, Edina, MN 55424-1202 | 2013-03-26 |
1073573630 | Alan Richard Harrison Jr. | Physician Assistant | 7373 France Ave S., Suite 300, Edina, MN 55435-4538 | 2006-03-27 |
1326681800 | Elizabeth Wallis | Physician Assistant | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2019-10-28 |
1841759438 | Emma Cyr | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2019-03-14 |
1023581337 | Hannah Margaret Brooks | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2019-01-09 |
1598267676 | Tucker Boone Johnson | Physician Assistant | 6525 France Ave S Ste 200, Edina, MN 55435-2176 | 2018-03-05 |
1134637986 | Kristy Jordan Lichtenberg | Physician Assistant | 6565 France Ave S Ste 375, Edina, MN 55435-2141 | 2018-01-15 |
1902288905 | Katie Grausam | Physician Assistant | 6401 France Ave S, Edina, MN 55435-2104 | 2015-06-25 |
1104208768 | Kaylee Lynn Gibney | Physician Assistant | 6401 France Ave S, Edina, MN 55435-2104 | 2015-06-19 |
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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.