LISA MALLARD (NPI# 1891847869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891847869 |
| Entity Type | Individual |
| Full Name | LISA MALLARD |
| Credential | ARNP, CNM |
| Practice Address |
100 Brewster Blvd Camp Lejeune NC 28547 |
| Mailing Address |
100 Brewster Blvd Camp Lejeune NC 28547-2575 |
| Practice Telephone | 9104492741 |
| Mailing Telephone | 9104492741 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | ARNP 2157582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Nw Lake Whitney Pl, Suite 106, Port Saint Lucie, FL 349861615 | 7727858000 | 7727858150 |
| Street Address |
100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
| 1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
| 1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
| 1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
| 1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
| 1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
| 1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015954 | Christie Merritt Sanders | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-10-20 |
| 1952858466 | Serina Hernandez | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2016-09-01 |
| 1699156471 | Rose Cheri Jolly | Advanced Practice Midwife | 100 Brewster Blvd, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2015-06-17 |
| 1932580297 | Andrea Michelle Hernandez | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2015-06-12 |
| 1083011035 | Mary Anne Brady | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2014-11-19 |
| 1083032387 | Dean Hawkins Jr. | Advanced Practice Midwife | 100 Brewster Blvd, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2014-04-03 |
| 1740554047 | Edith Ruth Glanton | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2012-03-05 |
| 1144473216 | Susanne Elizabeth Mckinney | Advanced Practice Midwife | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2008-11-03 |
| 1982804746 | Melissa Ann Summerville | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2007-07-20 |
| 1124161559 | Natesha A Vaillancourt | Advanced Practice Midwife | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2007-02-15 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.