LISA MARIE PARKER (NPI# 1932552890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932552890 |
| Entity Type | Individual |
| Full Name | LISA MARIE PARKER |
| Credential | NP |
| Practice Address |
1321a Interstate Pkwy Augusta GA 30909-5626 |
| Mailing Address |
1 Hickman St Graniteville SC 29829-2955 |
| Practice Telephone | 7067387246 |
| Practice Fax Number | 7067387248 |
| Mailing Telephone | 8033927092 |
| Mailing Fax Number | 8033927174 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20218 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN201619 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP8328 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Hickman St, Graniteville, SC 29829 | 8033927092 | 8033927174 |
| 1000 Clyburn Pl, Aiken, SC 298014193 | 8033807000 | 8035024248 |
| 4500 Forest Dr Ste A, Columbia, SC 292063105 | 8037389522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1104391176 | Lisa Parker | Non-emergency Medical Transport (VAN) | 715 Chicory Ln, Aurora, MO 65605-2085 | 2018-10-05 |
| 1467971812 | Lisa Kay Parker | Counselor | 1507 S Key Ave Ste B, Lampasas, TX 76550-3579 | 2017-09-18 |
| 1922550912 | Lisa Parker | Nurse Practitioner | 11911 N Meridian Street Suite 100, Carmel, IN 46032 | 2016-10-26 |
| 1649642083 | Lisa Parker | Specialist | 216 Locust Ave, Babylon, NY 11702-2112 | 2015-10-26 |
| 1063898286 | Lisa Parker | Nurse Practitioner | 4541 N State St, Jackson, MS 39206-5308 | 2015-08-11 |
| 1982098745 | Lisa Parker | Dental Hygienist | 28 Academy Ave, Hampton, NH 03842-2200 | 2015-03-19 |
| 1811390594 | Lisa Karla Parker | Counselor | 1055 Shiloh Rd Nw, Ste. 311, Kennesaw, GA 30144 | 2014-10-08 |
| 1700290038 | Lisa A. Parker | Social Worker | 999 County Road 1118, Bogata, TX 75417-4108 | 2014-06-14 |
| Street Address |
1321A INTERSTATE PKWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144473976 | Jessica Meredith Davis | Physician Assistant | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2008-10-24 |
| 1740704907 | Reven C Smalls | Counselor | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2017-07-31 |
| 1508101312 | Sherrie Lynn Wheeler | Nurse Practitioner | 1321a Interstate Pkwy, Augusta, GA 30909-5626 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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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.