LISA L STAGAMAN (NPI# 1942520457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942520457 |
| Entity Type | Individual |
| Full Name | LISA L STAGAMAN |
| Credential | PHARMD |
| Practice Address |
104 W 5th Ave Suite 190e Spokane WA 99204-4880 |
| Mailing Address |
3439 S London Ct Spokane WA 99203-1655 |
| Practice Telephone | 5094742232 |
| Practice Fax Number | 5094742233 |
| Mailing Telephone | 5094563841 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH00011010 | WA | Pharmacy Service Providers |
| Street Address |
104 W 5TH AVE SUITE 190E |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157591 | Fifth and Browne Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 104 W 5th Ave, Spokane, WA 99204-4880 | 2005-07-12 |
| 1295384923 | Meghan Mcfarland | Nurse Practitioner | 104 W 5th Ave, Spokane, WA 99204-4820 | 2019-09-05 |
| 1255809893 | Alisha Christine Sullivan | Nurse Practitioner | 104 W 5th Ave, Spokane, WA 99204-4820 | 2018-11-12 |
| 1932698107 | Spokane Behavioral Health LLC | Psychiatric Hospital | 104 W 5th Ave, Spokane, WA 99204-4880 | 2018-05-03 |
| 1568974822 | Cody Matson | Nurse Practitioner | 104 W 5th Ave, Spokane, WA 99204-4880 | 2017-10-26 |
| 1679929541 | James Emil Fernando | Family Medicine | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2016-05-10 |
| 1386098853 | Alex Michael Heimbigner | Student in an Organized Health Care Education/Training Program | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2016-04-20 |
| 1558758789 | Jennifer Jane Hadlock | Student in an Organized Health Care Education/Training Program | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2015-04-26 |
| 1629465026 | Maya Swaminathan | Internal Medicine | 104 W 5th Ave, Ste 200w, Spokane, WA 99204 | 2015-04-23 |
| 1598162943 | Lisa Reimer | Pharmacist | 104 W 5th Ave, Suite 112 West, Spokane, WA 99204-4880 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
| 1124373014 | Kimberley Elaine Baum | Pharmacist | 104 W 5th Ave Ste 112, Spokane, WA 99204-4880 | 2012-07-17 |
| 1083104475 | Heather Marie Dickson | Pharmacist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2018-05-11 |
| 1831632926 | Keri Lawless Dobbin | Pharmacist | 400 E 5th Ave, Spokane, WA 99202-1334 | 2016-11-22 |
| 1609111095 | Kari Lynn Gilbert | Pharmacist | 711 S Cowley St, Spokane, WA 99202-1330 | 2012-12-11 |
| 1619232063 | Rachel Marie Druffel | Pharmacist | 120 N Pine St, Suite 156, Spokane, WA 99202-5029 | 2012-07-11 |
| 1326353814 | Steven Patrick Goodner | Pharmacist | 711 S Cowley St, Spokane, WA 99202-1330 | 2010-08-10 |
| 1467763128 | Janel L Garlick | Pharmacist | 5901 N Lidgerwood St, Suite 128, Spokane, WA 99208-5095 | 2010-06-28 |
| 1992021455 | Julie Ann Lennon | Pharmacist | 5901 N Lidgerwood St, Suite 128, Spokane, WA 99208-5095 | 2010-04-08 |
| 1114148707 | Patrick J Brown | Pharmacist | 800 W 5th Ave, Spokane, WA 99204-2803 | 2007-05-01 |
| Find all providers in SPOKANE | ||||
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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.