MRS. LISA MARIE RICHARDSON (NPI# 1821538273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821538273 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE RICHARDSON |
| Other Name | MRS. LISA MARIE RICHARDSON |
| Credential | AMFT |
| Practice Address |
2852 Elmwood Ave Apt 9 Stockton CA 95204-3949 |
| Practice Telephone | 5107319392 |
| Mailing Telephone | 5107319392 |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5305 Fairside Way, Antioch, CA 945319017 | 5107319392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552480 | Lisa Jo Richardson | Registered Nurse | 2922 Summerfield Dr, Louisville, KY 40220-2833 | 2019-08-01 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235636796 | Lisa Hughes Richardson | Home Health Aide | 915 Ledro St, Cincinnati, OH 45246-1802 | 2018-04-11 |
| 1447590906 | Lisa Richardson | Social Worker | Highway One, San Luis Obispo, CA 93409-8101 | 2013-02-20 |
| 1033376520 | Lisa Annette Richardson | Licensed Practical Nurse | 597 Bellevue Ave N, Yonkers, NY 10703-1118 | 2008-05-21 |
| 1912101627 | Lisa Herlocker Richardson | Occupational Therapy Assistant | 33426 Old Salisbury Road, Albemarle, NC 28002 | 2007-06-14 |
| 1790899011 | Lisa C. Richardson | Social Worker | 1716 W. Searcy St., Heber Springs, AR 72543-3532 | 2006-08-17 |
| 1427072750 | Lisa B Richardson | Nurse Practitioner | 55 Joy Dr, Loudonville, NY 12211-1539 | 2006-07-27 |
| 1477596765 | Lisa Denise Richardson | Social Worker | 508 Airdale Ln, Simpsonville, SC 29680-7822 | 2006-06-14 |
| 1609866086 | Lisa Kay Richardson | Nurse Practitioner | 11 Shenango Rd, Ste 1, New Castle, PA 16105-1177 | 2005-10-26 |
| Street Address |
2852 ELMWOOD AVE APT 9 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1083223317 | Simone A Stevens | Student in an Organized Health Care Education/Training Program | 2041 Grey Stone Dr, Stockton, CA 95206-4652 | 2020-07-22 |
| 1497381453 | Carrie Elaine Guidry | Student in an Organized Health Care Education/Training Program | 4415 N Pershing Ave Apt 4, Stockton, CA 95207-6955 | 2020-03-20 |
| 1740820786 | Brandon Jay Baccam | Student in an Organized Health Care Education/Training Program | 3302 Rutherford Dr, Stockton, CA 95212-3425 | 2020-01-07 |
| 1144886375 | Linda Voeuth Kong | Student in an Organized Health Care Education/Training Program | 3830 Alvarado Ave Apt 225, Stockton, CA 95204-2324 | 2019-05-13 |
| 1518439173 | Heidi Lee | Student in an Organized Health Care Education/Training Program | 3591 Quail Lakes Dr Apt 33, Stockton, CA 95207-5253 | 2018-12-20 |
| 1396220331 | Evangelina Dori Olson | Student in an Organized Health Care Education/Training Program | 1803 W March Ln Ste C&d, Stockton, CA 95207-6414 | 2018-09-25 |
| 1548741176 | Diep Phan | Student in an Organized Health Care Education/Training Program | 7720 Lorraine Ave Ste 102, Stockton, CA 95210-4203 | 2018-08-22 |
| 1457885279 | Angud Mehdi | Student in an Organized Health Care Education/Training Program | 6351 Saint Andrews Dr, Stockton, CA 95219-1861 | 2017-04-18 |
| 1477929453 | Manjot Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 5405 N Pershing Ave Ste C1, Stockton, CA 95207-5451 | 2015-08-13 |
| Find all providers in STOCKTON | ||||
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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.