MRS. LISA ANN TATE (NPI# 1871841338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871841338 |
| Entity Type | Individual |
| Full Name | MRS. LISA ANN TATE |
| Other Name | MS. LISA ANN JACKSON |
| Credential | ATC |
| Practice Address |
2312 S Dixon Rd Suite 250 Kokomo IN 46902-6401 |
| Practice Telephone | 7654552122 |
| Practice Fax Number | 7654553122 |
| Mailing Telephone | 7654552122 |
| Mailing Fax Number | 7654553122 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000648A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596281 | Lisa Tate | Psychologist | 218 D St, South Charleston, WV 25303-3104 | 2015-08-25 |
| 1265561021 | Lisa Marie Tate | Nurse Practitioner | 975 Ryland St, Ste 100, Reno, NV 89502-1667 | 2007-03-05 |
| 1013052000 | Lisa A Tate | Speech-Language Pathologist | 1611 Headway Cir Bldg 2, Austin, TX 78754-5165 | 2007-02-20 |
| 1497867816 | Lisa Tate | Social Worker | 1001 Military St, Port Huron, MI 48060-5416 | 2006-08-31 |
| Street Address |
2312 S DIXON RD SUITE 250 |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760493399 | North Central Rehabilitation Services, LLC | Occupational Therapist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2006-08-10 |
| 1801402136 | Ronald Pete Moore | Physical Therapy Assistant | 2312 S Dixon Rd, Kokomo, IN 46902-6401 | 2020-09-22 |
| 1386913879 | Adrienne Renee Clark | Specialist/Technologist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2011-12-29 |
| 1427389717 | Board of Trustees of Howard Community Hospital | Orthopaedic Surgery | 2312 S Dixon Rd, Suite 200, Kokomo, IN 46902-6401 | 2010-01-26 |
| 1417183005 | Margaret Dorothy Johnson | Physical Therapy Assistant | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2009-06-09 |
| 1679707921 | Diane Gall | Physical Therapist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2009-05-14 |
| 1912143876 | Ramiro Cortez | Physical Therapy Assistant | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2008-12-26 |
| 1285870147 | Jeffrey A Mossburg | Physical Therapy Assistant | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2008-12-26 |
| 1659517514 | Michael D Hopwood | Physical Therapy Assistant | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2008-12-26 |
| 1477799336 | Abbee R Summers | Physical Therapy Assistant | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2008-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033604558 | Justine Danielle Christensen | Specialist/Technologist | 3431 N 400 W, Kokomo, IN 46901-9107 | 2018-06-27 |
| 1407382575 | Damon Reel | Specialist/Technologist | 3352 Weathered Rock Cir, Kokomo, IN 46902-6066 | 2017-05-10 |
| 1093172025 | Brenna Miller | Specialist/Technologist | 4870 W 200 N, Kokomo, IN 46901-9114 | 2016-01-21 |
| 1497016554 | Amy Piazza | Specialist/Technologist | 2312 N. Dixon Rd., Replay Howard Regional Health System, Kokomo, IN 46902 | 2012-06-06 |
| 1245730563 | Benjamin Martens | Specialist/Technologist | 2312 S Dixon Rd Ste 250, Kokomo, IN 46902-6426 | 2018-02-13 |
| 1386066801 | Jonathan Michael Daniel Berger | Specialist/Technologist | 2108 E Boulevard, Kokomo, IN 46902-2401 | 2014-01-17 |
| 1376891614 | Morgan Goode | Specialist/Technologist | 2312 S Dixon Rd Ste 250, Kokomo, IN 46902-6426 | 2012-08-16 |
| 1386913879 | Adrienne Renee Clark | Specialist/Technologist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2011-12-29 |
| 1811273956 | Brett David Patterson | Specialist/Technologist | 2312 S Dixon Rd Ste 250, Kokomo, IN 46902-6426 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LISA ANN TATE.
| 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.