LAUREN MCKISSICK (NPI# 1942654066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942654066 |
| Entity Type | Individual |
| Full Name | LAUREN MCKISSICK |
| Practice Address |
161 Bakers Ridge Rd Morgantown WV 26508-1459 |
| Mailing Address |
161 Bakers Ridge Road Morgantown WV 26508 |
| Practice Telephone | 3042850692 |
| Mailing Telephone | 3042850692 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C2064 | WV | Other Service Providers |
| Street Address |
161 BAKERS RIDGE RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730120486 | Gma-madison Inc | Skilled Nursing Facility | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2006-06-10 |
| 1568079119 | Karissa Ann Gondak | Speech-Language Pathologist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2020-09-28 |
| 1720629348 | Joseph Laneve | Physical Therapist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2019-10-04 |
| 1033675186 | Brandon Robert Shreve | Physical Therapy Assistant | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2019-02-13 |
| 1861984452 | Kami Kubler | Speech-Language Pathologist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2018-05-31 |
| 1801346622 | Heidi Shultz | Physical Therapy Assistant | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2016-10-04 |
| 1194177659 | Katie Kozulla | Speech-Language Pathologist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2016-07-08 |
| 1932585494 | Megan Carbacio | Occupational Therapist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2015-08-07 |
| 1831580125 | Tyler Wamsley | Physical Therapist | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2015-02-09 |
| 1023427846 | Kristina Beeghly | Physical Therapy Assistant | 161 Bakers Ridge Rd, Morgantown, WV 26505 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235588138 | Ashley Cowan | Specialist | 248 Eden Dr, Morgantown, KY 42261-8955 | 2016-06-10 |
| 1740685932 | Pediatric Lung & Asthma Center, Pllc | Specialist | 1270 Suncrest Towne Centre Drive, Morgantown, WV 26508-1828 | 2014-10-30 |
| 1346659281 | Virginia Keener | Specialist | 668 W Virginia Ave, Morgantown, WV 26501-6741 | 2014-08-05 |
| 1578869079 | Tealia Lynn Wolfe | Specialist | 3012 Northpointe Plz, Morgantown, WV 26505-3277 | 2011-01-31 |
| 1366647075 | Ghayth Hammad, Md Psc | Specialist | 234 Porter St, Morgantown, KY 42261-8629 | 2007-06-20 |
| 1285841031 | Joseph G Feghali Md, Inc | Specialist | 2000 Hampton Ctr Ste D, Morgantown, WV 26505-1704 | 2007-05-17 |
| 1013066455 | Barbara E Jones | Specialist | 4788 S Lick Creek Rd, Morgantown, IN 46160-9598 | 2007-01-08 |
| 1922160779 | Jane Jean | Specialist | 6995 N Carmel Ridge Rd, Morgantown, IN 46160-9487 | 2006-12-15 |
| 1417028887 | Carol Ann White | Specialist | 1311 Pineview Dr, Morgantown, WV 26505-0485 | 2006-11-10 |
| 1366531287 | Ahmed Husari, Md, Inc | Specialist | 1194 Pineview Dr, Morgantown, WV 26505 | 2006-10-11 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on LAUREN MCKISSICK.
| 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.