LISA M BALLAS (NPI# 1912254970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912254970 |
| Entity Type | Individual |
| Full Name | LISA M BALLAS |
| Credential | LPN |
| Practice Address |
5 Butterfly Dr Hauppauge NY 11788-1033 |
| Practice Telephone | 6318640193 |
| Mailing Telephone | 6318640193 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 307469-1 | NY | Nursing Service Providers |
| Street Address |
5 BUTTERFLY DR |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194904 | Jamie Borsman | Licensed Practical Nurse | 124 Lawrence Ave, Hauppauge, NY 11788-3408 | 2019-06-24 |
| 1932663325 | Shannon Hickey | Licensed Practical Nurse | 11 Marlo Ln, Hauppauge, NY 11788-4701 | 2019-01-30 |
| 1578045282 | Brooke Ann Bialkwski | Licensed Practical Nurse | 115 Windwatch Dr, Hauppauge, NY 11788-3350 | 2018-08-30 |
| 1215424239 | Alicia C Garay | Licensed Practical Nurse | 726 Terry Rd, Hauppauge, NY 11788-3449 | 2018-04-16 |
| 1396198560 | Christine Japertas-mccarthy | Licensed Practical Nurse | 6 Pinoak Ln, Hauppauge, NY 11788-1051 | 2016-07-22 |
| 1174993083 | Luis Alfaro | Licensed Practical Nurse | 196 San Juan Dr., Hauppauge, NY 11788-3538 | 2015-10-05 |
| 1861733412 | Heather Marie Polacek | Licensed Practical Nurse | 28 Fairview Pl, Hauppauge, NY 11788-2409 | 2013-03-06 |
| 1720324999 | Deborah A Lazarou | Licensed Practical Nurse | 438 Hoffman Ln, Hauppauge, NY 11788-3100 | 2012-12-17 |
| 1508014713 | Augusta Poulard | Licensed Practical Nurse | 1 Rabro Dr, Hauppauge, NY 11788-4270 | 2008-08-29 |
| 1255593471 | Darvon Schnell Bartholomew | Licensed Practical Nurse | 66 Schneider Ln, Hauppauge, NY 11788-4337 | 2008-06-29 |
| Find all providers in HAUPPAUGE | ||||
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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.