LISA RAE HANNA (NPI# 1821148214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821148214 |
| Entity Type | Individual |
| Full Name | LISA RAE HANNA |
| Credential | PA-C |
| Practice Address |
700 Scott and White Dr College Station TX 77845 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9792070100 |
| Practice Fax Number | 9792072161 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03623 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 Garth Rd, Suite 400, Baytown, TX 775213153 | 2814208400 | 2814208445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245623644 | Lisa A Hanna | Counselor | 815 Chambers St Se, Olympia, WA 98501-2011 | 2015-03-09 |
| 1568763043 | Lisa Margaret Hanna | Nurse Practitioner | 251 Imperial Hwy, Suite 460, Fullerton, CA 92835-1057 | 2010-11-15 |
| 1407415169 | Lisa Hanna | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| 1962985457 | Lisa Ann Hanna | Physician Assistant | 300 68th St Se, Grand Rapids, MI 49548 | 2018-09-11 |
| 1700986718 | Lisa G Hanna | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-09-22 |
| Street Address |
700 SCOTT AND WHITE DR |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125305 | Ben L Sueoka | Radiology | 700 Scott and White Dr, College Station, TX 77845-6441 | 2005-06-22 |
| 1386208452 | Faranaz Majid Velani Hoodani | Registered Nurse | 700 Scott and White Dr, College Station, TX 77845-6441 | 2019-04-24 |
| 1801383930 | Ross Hunter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-04-14 |
| 1982107504 | Genevieve Lois Gourlay | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-03-09 |
| 1992211155 | Shannon Lloyd | Dietitian, Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-22 |
| 1184130080 | Steven Christian Piwonka | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-14 |
| 1730690637 | Jason David Jennings | Physical Therapist | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-10-18 |
| 1831616440 | Richard Torio | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-08-24 |
| 1508396250 | Jeffrey Barrett Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-06-15 |
| 1528512662 | Lisa Carter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| 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 |
|---|---|---|---|---|
| 1174591242 | Jon C Teacle | Physician Assistant | 2803 Earl Rudder Fwy S Ste 103, College Station, TX 77845-6099 | 2006-03-14 |
| 1396305306 | Gerald Darling IIi | Physician Assistant | 2911 Texas Ave S Ste 103, College Station, TX 77845-5388 | 2019-06-20 |
| 1811491038 | Brittney A Pohler | Physician Assistant | 800 Scott and White Dr, College Station, TX 77845-6440 | 2018-03-21 |
| 1982107504 | Genevieve Lois Gourlay | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-03-09 |
| 1255790366 | Porscha Buck | Physician Assistant | 800 Scott and White Dr, College Station, TX 77845-6440 | 2016-02-17 |
| 1467826248 | Holly Jackson | Physician Assistant | 4421 Highway 6 S Ste 100, College Station, TX 77845-6176 | 2015-11-17 |
| 1427421270 | Shannon Easterling | Physician Assistant | 800 Scott and White Dr, College Station, TX 77845-6440 | 2015-11-02 |
| 1316333149 | Claudia Cantu | Physician Assistant | 1264 Tamu, College Station, TX 77843-0001 | 2015-04-08 |
| 1003204355 | Brittany Rae Rhinehart | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2015-01-08 |
| 1841613817 | Amanda Campbell Johnston | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2014-01-28 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on LISA RAE HANNA.
| 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.