LISA M BOER (NPI# 1912218546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912218546 |
| Entity Type | Individual |
| Full Name | LISA M BOER |
| Credential | LMHC |
| Practice Address |
525 E 15th St Panama City FL 32405-5412 |
| Practice Telephone | 8505224485 |
| Practice Fax Number | 8505224484 |
| Mailing Telephone | 8505224485 |
| Mailing Fax Number | 8505224484 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH10962 | FL | Behavioral Health & Social Service Providers |
| Street Address |
525 E 15TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448615 | Paul H Wurst | Psychiatry & Neurology | 525 E 15th St, Panama City, FL 32405-5412 | 2005-06-22 |
| 1093342552 | Roseth E Kyerematen | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-25 |
| 1912532144 | Pamela E. Wallace | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-09 |
| 1609419936 | Timothy Arrant | Counselor | 525 E 15th St, Panama City, FL 32405-5400 | 2019-10-18 |
| 1801440763 | Jennifer Sue Davis | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-07-30 |
| 1598327082 | Lydia Munoz | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-07-03 |
| 1831750066 | Antonio L Campbell | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-27 |
| 1831757715 | Amanda Nicole Odell | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-05 |
| 1396203824 | Victoria Augusta Terry | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-03-04 |
| 1891250296 | Luke Abbey | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049670 | Melissa Anne Chambers | Counselor | 525 E 15th St Bldg A, Panama City, FL 32405-5400 | 2020-09-29 |
| 1265044184 | Coleen Lynnette Hernandez | Counselor | 747 Jenks Ave, Panama City, FL 32401-2582 | 2020-08-21 |
| 1760015408 | Resurgence Counseling LLC | Counselor | 2686 Chapman Dr, Panama City, FL 32405-4914 | 2020-02-21 |
| 1851922835 | Angela Jean Stovall | Counselor | 3219 Ashmore St, Panama City, FL 32404-6285 | 2020-01-29 |
| 1316405822 | Robin Keys | Counselor | 2617 Redtail St, Panama City, FL 32405-6681 | 2019-03-05 |
| 1225596786 | Meleah Beth Lister Smith | Counselor | 625 Jenks Ave, Panama City, FL 32401-2629 | 2019-03-04 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1144671199 | Bruce Alan Griffin | Counselor | 5509 Merritt Brown Rd, Panama City, FL 32404-3008 | 2016-06-30 |
| 1861848640 | Renew Hypnosis and Counseling | Counselor | 1137 Harrison Ave Ste 10, Panama City, FL 32401-2468 | 2016-05-11 |
| 1942666508 | Andrea Mccrary | Counselor | 203a Forest Park Cir, Panama City, FL 32405-4916 | 2016-01-12 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on LISA M BOER.
| 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.