LISA ANN CLANCY (NPI# 1881893865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881893865 |
| Entity Type | Individual |
| Full Name | LISA ANN CLANCY |
| Credential | PT |
| Practice Address |
2954 Flamelight Ct Saint Louis MO 63129-2413 |
| Practice Telephone | 3148456719 |
| Mailing Telephone | 3148456719 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PT LICENSE | 01623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852955 | Lisa Clancy | Physical Therapist | 227 Centerville Rd Fl 2, Warwick, RI 02886-4394 | 2005-09-21 |
| 1992959092 | Lisa Marie Clancy | Social Worker | 17 East Genesee Street, Auburn, NY 13021-4040 | 2008-11-17 |
| 1922173467 | Lisa Clancy | Anesthesiology | 25b Vreeland Rd, Florham Park, NJ 07932-1900 | 2006-11-21 |
| Street Address |
2954 FLAMELIGHT CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1063967339 | Stephanie Kennedy | Contractor | 5890 Kennerly Ave, Saint Louis, MO 63112-3822 | 2016-08-16 |
| 1407200728 | Desiray Taylor | Contractor | 2318 Woodson Rd, Unit 142324, Saint Louis, MO 63114-5544 | 2016-04-22 |
| 1427422336 | Northlight Development Lp | Contractor | 3414 Hawthorne Blvd, Saint Louis, MO 63104-1623 | 2015-11-17 |
| 1497148845 | Walter Kopecky Jr. | Contractor | 342 Royal Valley Dr, Saint Louis, MO 63141-6653 | 2015-03-10 |
| 1033513692 | Jack Sailor | Contractor | 2206 Lucas Ave Unit 508, Saint Louis, MO 63103-1555 | 2014-10-10 |
| 1649696386 | North American Rural Health Services, Inc. | Contractor | 9245 Watson Industrial Park, Saint Louis, MO 63126-1518 | 2014-03-05 |
| 1609207893 | Shanda Bonner | Contractor | 1504 Park Way Dr, Saint Louis, MO 63130-1245 | 2013-12-12 |
| 1043579063 | Tonia Denise Ambus | Contractor | 10262 Page Ave, Saint Louis, MO 63132-1322 | 2012-05-10 |
| 1700175882 | Marvelous Clark | Contractor | 5923 Theodosia Ave, Saint Louis, MO 63112-3622 | 2011-03-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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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.