MRS. LISA MARIE PEACOCK (NPI# 1952475287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952475287 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE PEACOCK |
| Credential | R.N.C., W.H.N.P. |
| Practice Address |
2325 Garfield Rd N Traverse City MI 49686-5127 |
| Mailing Address |
5426 Breezehill Dr Traverse City MI 49684-6908 |
| Practice Telephone | 2319226416 |
| Mailing Telephone | 2319474956 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704184255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1710245006 | Lisa Martinez Peacock | Social Worker | 8001 Shawnee Mission Pkwy, Suite 250c, Merriam, KS 66202-2966 | 2012-04-24 |
| 1134768211 | Lisa Peacock | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-01-06 |
| 1578059309 | Lisa Lynn3 Peacock | Health Educator | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2018-07-04 |
| 1295721462 | Lisa Marie Peacock | Obstetrics & Gynecology | 3700 Saint Charles Ave, 5th Floor, New Orleans, LA 70115-4637 | 2005-09-23 |
| Street Address |
2325 GARFIELD RD N |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452821 | Michael Peter Collins | Obstetrics & Gynecology | 2325 Garfield Rd N, Grand Traverse County Health Department, Traverse City, MI 49686-5127 | 2006-05-11 |
| 1447555073 | Jenny E Reid | Nurse Practitioner | 2325 Garfield Rd N, Traverse City, MI 49686-5178 | 2011-01-12 |
| 1801074646 | Grand Traverse County Health Department | Preventive Medicine | 2325 Garfield Rd N, Traverse City, MI 49686-5178 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447605001 | Sandra Lee Allen-cary | Nurse Practitioner | 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 | 2016-05-02 |
| 1033458534 | Meghan J Visnick | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2013-02-05 |
| 1174841720 | Jane Marie Stauffer | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2010-05-06 |
| 1316164742 | Kathryn Rose | Nurse Practitioner | 1200 6th St, Ste 400, Traverse City, MI 49684-2369 | 2007-04-19 |
| 1023161213 | Carol Jean Sodman | Nurse Practitioner | 1135 E 8th St, Traverse City, MI 49686-2936 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
| 1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
| 1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
| 1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
| 1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on MRS. LISA MARIE PEACOCK.
| 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.