LISA PETRICCA (NPI# 1003439936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003439936 |
| Entity Type | Individual |
| Full Name | LISA PETRICCA |
| Credential | PA-C |
| Practice Address |
28 Berkshire Dr Farmington CT 06032-2506 |
| Practice Telephone | 8608301556 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28 BERKSHIRE DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068538 | Lauren Rose Payne | Physician Assistant | 5610 State Route 96, Farmington, NY 14425-8901 | 2020-06-23 |
| 1710544945 | Najia Wasiuddin | Physician Assistant | 35031 Drakeshire Ln Apt 204, Farmington, MI 48335-3220 | 2019-05-22 |
| 1083189880 | Sarah E Hudson | Physician Assistant | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2018-10-08 |
| 1003307109 | Jason S. Pinho | Physician Assistant | 399 Farmington Ave Ste 110, Farmington, CT 06032-1944 | 2018-05-23 |
| 1659747475 | Arsalan Ahsan | Physician Assistant | 36545 Saxony Rd, Farmington, MI 48335-3022 | 2015-08-16 |
| 1083970297 | Elizabeth Ann Putt | Physician Assistant | 33166 Maplenut St, Farmington, MI 48336-4437 | 2012-04-02 |
| 1275782997 | Sarah Marie Zimmerman | Physician Assistant | 23133 Orchard Lake Rd Ste 100, Farmington, MI 48336-3278 | 2008-09-17 |
| 1104002849 | Stephanie Behrens | Physician Assistant | 21 South Rd Ste 110, Farmington, CT 06032-2482 | 2008-01-11 |
| 1619033388 | Kathleen A. Lillicraf | Physician Assistant | John Dempsey Hospital: Dept of Anesthesiology, 263 Farmington Avenue, Mc-2015, Farmington, CT 06030-0001 | 2006-12-28 |
| 1215007919 | Allyson Leigh Dacruz | Physician Assistant | Farmington Ave, Uconn Jdh Neonatology, Farmington, CT 06030-0001 | 2006-11-09 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on LISA PETRICCA.
| 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.