LISA MICHELLE BERNHARDT (NPI# 1952718710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952718710 |
| Entity Type | Individual |
| Full Name | LISA MICHELLE BERNHARDT |
| Other Name | LISA MICHELLE HOSCH |
| Credential | AGNP |
| Practice Address |
212 S 4th St Ste 301 Grand Forks ND 58201-4776 |
| Practice Telephone | 7017572100 |
| Practice Fax Number | 7017570305 |
| Mailing Telephone | 7017572100 |
| Mailing Fax Number | 7017570305 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R39879 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R39879 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 607 Towner Ave, Larimore, ND 582514501 | 7013436418 | 7013432937 |
| Street Address |
212 S 4TH ST STE 301 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558452359 | Eric R Lunn | Pediatrics | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2006-09-27 |
| 1982210308 | Kristen Marie Young | Nurse Practitioner | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2020-09-21 |
| 1386111391 | Stacey Cae Rygh | Social Worker | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2018-10-28 |
| 1063924207 | Kayla Evelyn Hochstetler | Social Worker | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2017-10-27 |
| 1982861647 | Christine Harsell | Nurse Practitioner | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295929263 | Suzanne Kay Obrien | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073185 | Claudia H Low | Clinical Nurse Specialist | 301 12th St Se, Watford City, ND 58854-6722 | 2011-08-03 |
| 1932107166 | Faye M Weiss | Clinical Nurse Specialist | 234 14th Ave Se Ste 317, Minot, ND 58701-5981 | 2005-07-12 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on LISA MICHELLE BERNHARDT.
| 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.