SHELLEY ALICIA LISK (NPI# 1922430081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922430081 |
| Entity Type | Individual |
| Full Name | SHELLEY ALICIA LISK |
| Credential | PA-C |
| Practice Address |
933 Red Apple Rd Ste C Wenatchee WA 98801-3370 |
| Mailing Address |
600 Orondo Ave Ste 1 Wenatchee WA 98801-2800 |
| Practice Telephone | 5096638767 |
| Practice Fax Number | 5096631421 |
| Mailing Telephone | 5096626000 |
| Mailing Fax Number | 5096644590 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60831965 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
933 RED APPLE RD STE C |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070459 | Tamiko Aochi Jordan | Pediatrics | 933 Red Apple Rd Ste C, Wenatchee, WA 98801-3370 | 2005-11-18 |
| 1831409150 | Erin Clover Cudney | Nurse Practitioner | 933 Red Apple Rd Ste C, Wenatchee, WA 98801-3370 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905636 | Kalie Thompson | Physician Assistant | 600 Orondo Ave, Wenatchee, WA 98801-2800 | 2020-02-27 |
| 1346768116 | Anne Marie Logan | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2017-08-31 |
| 1821546383 | Meadow Romney Summers | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2016-09-13 |
| 1225485352 | Nicholas Collins-feay | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2016-05-18 |
| 1679920144 | Ryan Timothy Minton | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2016-05-15 |
| 1922417914 | Carolyn Hope Smith | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2014-08-05 |
| 1295150936 | Nathan Drew Chambers | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2014-03-04 |
| 1124366166 | Lauren N Musick | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2013-01-25 |
| 1023369733 | Greg A Moser | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2012-09-21 |
| 1073860979 | Chelsea Jean Van Horn Brown | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2012-08-09 |
| Find all providers in WENATCHEE | ||||
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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.