MS. LISSA WEST (NPI# 1003055955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003055955 |
| Entity Type | Individual |
| Full Name | MS. LISSA WEST |
| Other Name | ELIZABETH ALICE WEST |
| Credential | FNP |
| Practice Address |
3606 Maclay Blvd Ste 102 Tallahassee FL 32312 |
| Practice Telephone | 8058771162 |
| Practice Fax Number | 8506715009 |
| Mailing Telephone | 8058771162 |
| Mailing Fax Number | 8506715009 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
07609 | TN | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
115113 R.N. | TN | Nursing Service Providers |
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
7609 A.P.N. | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440116 | 05 |
| Street Address |
3606 MACLAY BLVD STE 102 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1437701695 | Kristine Gromlovits | Registered Nurse | 210 N Palmetto Ave Ste A-102, Daytona Beach, FL 32114-7521 | 2019-07-09 |
| 1245890482 | Jordan Najjar | Registered Nurse | 1078 Jeffery St, Boca Raton, FL 33487-4110 | 2019-06-19 |
| 1740742006 | Suzan Tamesha Edwards | Registered Nurse | 2028 Winners Cir, North Lauderdale, FL 33068-5447 | 2019-04-04 |
| 1386164291 | Just In Time Nursing, Inc | Registered Nurse | 2100 S. Ocean Blvd, Suite# 106n, Palm Beach, FL 33480-5207 | 2017-06-21 |
| 1346773900 | Christiane Previlma | Registered Nurse | 2006 Cross Breeze Dr, Wellington, FL 33414-8075 | 2017-04-10 |
| 1871830588 | Nancy Carol Gonzalez | Registered Nurse | 11946 Sw 54th St, Cooper City, FL 33330-4242 | 2013-01-15 |
| 1558637009 | Kayse Mcgovern | Registered Nurse | 2505 Junior St, Orange City, FL 32763-8000 | 2012-03-29 |
| 1295961324 | Rosalee Cipolla | Registered Nurse | 7847 Oregold Dr, New Port Richey, FL 34654-6363 | 2009-06-03 |
| 1922287549 | Patricia R Burt | Registered Nurse | 1688 W Granada Blvd Ste 2b, Ormond Beach, FL 32174-1818 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
Please comment or provide details below to improve the information on MS. LISSA WEST.
| 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.