LISA MADALA (NPI# 1841203692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841203692 |
Entity Type | Individual |
Full Name | LISA MADALA |
Credential | NP |
Practice Address |
1630 E Herndon Ave Fresno CA 93720-3305 |
Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
Practice Telephone | 5592565200 |
Practice Fax Number | 5592565376 |
Mailing Telephone | 5592565200 |
Mailing Fax Number | 5592565376 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP15802 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RN LICENSE | 499652 | 01 |
NURSE PRACTITIONER FURNISHING LICENSE | 15802 | 01 |
Street Address |
1630 E HERNDON AVE |
City | FRESNO |
State | CA |
Zip Code | 93720-3305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063403442 | Jerome R Dunklin | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-03 |
1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
1134583578 | Sierra Pacific Orthopaedic Center | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-12 |
1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
Find all providers in zip 93720 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134754963 | Jaspreet Kaur | Nurse Practitioner | 5810 E Laurite Ave, Fresno, CA 93727-9040 | 2020-03-12 |
1194351981 | Marian Montes | Nurse Practitioner | 6780 N West Ave Ste 101, Fresno, CA 93711-4305 | 2020-03-12 |
1821633082 | Ravneet Kaur | Nurse Practitioner | 6069 N 1st St, Fresno, CA 93710-5467 | 2019-11-12 |
1932674850 | Jacqueline Carino | Nurse Practitioner | 7215 N Fresno St Ste 101, Fresno, CA 93720-2969 | 2018-10-07 |
1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
1669915666 | Jehnette R Lopez | Nurse Practitioner | 45 River Park Place West, Suite 104, Fresno, CA 93720-1565 | 2016-11-22 |
1942653415 | Carolyn Ferguson | Nurse Practitioner | 1255 E. Herndon, Fresno, CA 93720-0000 | 2016-07-19 |
1144688524 | Kathy Donohue I | Nurse Practitioner | 3694 W Fir Ave, Fresno, CA 93711-0617 | 2016-02-01 |
1154787786 | Neeraj Juneja | Nurse Practitioner | 7202 N Millbrook Ave Ste 202, Fresno, CA 93720 | 2016-01-12 |
1447642145 | Omni Women's Health | Nurse Practitioner | 3812 N First St, Fresno, CA 93726 | 2015-03-04 |
Find all providers in FRESNO |
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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.