LISA KELLEY (NPI# 1003292509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003292509 |
| Entity Type | Individual |
| Full Name | LISA KELLEY |
| Other Name | LISA MACVANE |
| Credential | LMT |
| Practice Address |
117 Free Street C/o Headgames Spa Portland ME 04106 |
| Mailing Address |
268 Preble St Unit B South Portland ME 04106-2232 |
| Practice Telephone | 2072399485 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | MT4261 | ME | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619245792 | Lisa Leigh Kelley | Acupuncturist | 1 Union Sq W Ste 715, New York, NY 10003-3303 | 2011-12-05 |
| 1376751446 | Lisa Nicole Kelley | Chiropractor | 7522 Grant St, Darien, IL 60561-4419 | 2007-05-20 |
| 1477655108 | Lisa S Kelley | Nurse Anesthetist, Certified Registered | 317 S Jackson St, Tullahoma, TN 37388-3471 | 2006-09-02 |
| 1497214043 | Lisa Kelley | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2019-03-13 |
| 1376056903 | Lisa Kelley | Physical Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-06 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1346635091 | Lisa Kelley | Speech-Language Pathologist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2015-03-31 |
| 1619370772 | Lisa Christine Kelley | Counselor | 13420 Reese Blvd W, Huntersville, NC 28078-7925 | 2014-10-03 |
| 1447504634 | Lisa M Kelley | Registered Nurse | 93 Barker Rd, Central Square, NY 13036-3460 | 2012-11-09 |
| 1114057874 | Lisa Marie Kelley | Counselor | 338 Main St, Wakefield, MA 01880 | 2007-03-06 |
| Street Address |
117 FREE STREET C/O HEADGAMES SPA |
| City | PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070066 | Jennifer Ann Hampton | Naturopath | 8375 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR 97225-2252 | 2020-10-16 |
| 1376140160 | Casey Rae Rohrbeck | Naturopath | 5020 Ne 32nd Ave Apt 4, Portland, OR 97211-6960 | 2020-10-05 |
| 1366049314 | Jenna Halbert | Naturopath | 333 Ne Russell St Ste 207, Portland, OR 97212-3763 | 2020-10-02 |
| 1679189252 | Hannah Rikoon | Naturopath | 49 S Porter St, Portland, OR 97201-4873 | 2020-09-19 |
| 1710593306 | Charlotte Nowack | Naturopath | 5331 S Macadam Ave Ste 380, Portland, OR 97239-3879 | 2020-09-18 |
| 1043824964 | Pc Health, LLC | Naturopath | 6519 N Vancouver Ave Apt C, Portland, OR 97217-1954 | 2020-09-08 |
| 1821602673 | Stephanie Joy Vickers | Naturopath | 4510 Sw Valona Way, Portland, OR 97219-6827 | 2020-08-31 |
| 1700496957 | Dr. Karen Cureton Nd, Lac | Naturopath | 4818 Se Naef Rd, Portland, OR 97267-4037 | 2020-08-03 |
| 1679182992 | Andrew Wojciechowski | Naturopath | 2701 Nw Vaughn St Ste 424, Portland, OR 97210-5362 | 2020-07-23 |
| 1568082972 | Tristian Rowe | Naturopath | 8407 Sw 35th Ave, Portland, OR 97219-3831 | 2020-04-26 |
| Find all providers in PORTLAND | ||||
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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.