LISA V. BAZA (NPI# 1891337242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891337242 |
Entity Type | Individual |
Full Name | LISA V. BAZA |
Practice Address |
414 W Soledad Ave Ste 500z Hagatna GU 96910-5066 |
Mailing Address |
1264 N Chalan Canton Tasi Yona GU 96915-4644 |
Practice Telephone | 6717773764 |
Practice Fax Number | 6714771077 |
Mailing Telephone | 6717773764 |
Mailing Fax Number | 6714771077 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-76 | GU | Behavioral Health & Social Service Providers |
Street Address |
414 W SOLEDAD AVE STE 500Z |
City | HAGATNA |
State | GU |
Zip Code | 96910-5066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
Find all providers in zip 96910 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
1477024271 | Evelyn H. Suda | Counselor | 222 Chalan Santo Papa, Reflection Center Suite 102, Hagatna, GU 96910 | 2018-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
1760031355 | Antonette Santos Padua | Counselor | 125 Darwin Ln, Talofofo, GU 96915-3723 | 2019-09-06 |
1144798521 | Katrina Rosario-sanchez | Counselor | 167 Leon Guerrero Drive, Tumon, GU 96913 | 2018-11-05 |
1033568977 | Joan Bernadette Swaddell | Counselor | 185 Afame Rd, Sinajana, GU 96910 | 2016-06-10 |
1932739919 | Joleen Aguon Baza | Counselor | 655 Harmon Loop Rd Ste 108, Dededo, GU 96929-6544 | 2020-01-18 |
1306214358 | Rethelje Ann Diaz | Counselor | 790 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3129 | 2015-09-08 |
1083082150 | Christine D. Camacho | Counselor | 790 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3129 | 2015-09-08 |
1093183154 | Beverly Grace Delos Reyes | Counselor | 790 Gov Carlos G Camacho Rd, Tamuning, GU 96913 | 2015-09-07 |
Please comment or provide details below to improve the information on LISA V. BAZA.
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.