LISA KEARNS (NPI# 1013362003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013362003 |
| Entity Type | Individual |
| Full Name | LISA KEARNS |
| Practice Address |
1670 S Amphlett Blvd Suite 115 San Mateo CA 94402-2510 |
| Mailing Address |
320 Bridge Rd Hillsborough CA 94010-6912 |
| Practice Telephone | 6503497969 |
| Practice Fax Number | 6503491103 |
| Mailing Telephone | 6503497969 |
| Mailing Fax Number | 6503491103 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF91866 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1518003086 | Lisa Kelly Kearns | Speech-Language Pathologist | 2320 Shore Dr., Morehead City, NC 28557 | 2007-01-30 |
| 1750450334 | Lisa Marie Kearns | Physical Therapist | 1200 Anastasia Ave, Coral Gables, FL 33134-6339 | 2006-11-07 |
| 1720054844 | Lisa Lavonne Kearns | Nurse Practitioner | 500 Burlington Rd Ste 240, Jackson, OH 45640-9360 | 2006-02-28 |
| 1427582873 | Lisa Kearns | Dietitian, Registered | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2017-04-12 |
| 1285942524 | Lisa J Kearns | Nurse Practitioner | 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-4216 | 2010-09-21 |
| 1891815320 | Lisa Marie Roshetsky Kearns | Internal Medicine | 543 Taylor Ave, Columbus, OH 43203-1278 | 2007-03-29 |
| Street Address |
1670 S AMPHLETT BLVD SUITE 115 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891702312 | Howard E Lee | Internal Medicine | 1670 S Amphlett Blvd, Suite 300, San Mateo, CA 94402-2510 | 2006-08-01 |
| 1841739497 | Adriana Juarez Arteaga | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2017-02-15 |
| 1225583024 | Erika Chavez-duarte | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2016-08-22 |
| 1497200372 | Moneisa Carson | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite Number 115, San Mateo, CA 94402-2510 | 2016-08-20 |
| 1477008704 | Audrey King | Physical Therapist | 1670 S Amphlett Blvd, #123, San Mateo, CA 94402-2510 | 2016-08-16 |
| 1881069086 | Walnut Creek Cbt Clinic | Psychologist | 1670 S Amphlett Blvd, Suite 225, San Mateo, CA 94402-2510 | 2015-12-14 |
| 1942678909 | Grant Bradley Gordin | Marriage & Family Therapist | 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402-2510 | 2015-09-08 |
| 1578931903 | Homecare Physicians Medical Group, Inc. | Internal Medicine | 1670 S Amphlett Blvd, Suite 300, San Mateo, CA 94402-2510 | 2015-09-02 |
| 1780073619 | Nassim Mirreghabie | Counselor | 1670 S Amphlett Blvd, San Mateo, CA 94402-2510 | 2015-01-15 |
| 1326453606 | Health On Wheels PC | Physical Therapist | 1670 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2510 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004855 | Doaa Mohamed Abdelrahman | Counselor | 126 W 25th Ave # 200, San Mateo, CA 94403-2208 | 2019-07-03 |
| 1629555644 | Dorcas Gaines | Counselor | 226 De Anza Blvd, San Mateo, CA 94402-3913 | 2018-07-23 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1104321165 | Maria Del Rosario Martinez | Counselor | 225 37th Ave Fl 3er, San Mateo, CA 94403-4324 | 2018-03-29 |
| 1407308539 | Rob Mcilvoy | Counselor | 526 S Eldorado St, San Mateo, CA 94402-1328 | 2016-10-24 |
| 1831644624 | Rodney Wg Roddewig | Counselor | 205 S Ellsworth Ave Apt 106, San Mateo, CA 94401-4076 | 2016-08-22 |
| 1427409507 | Callie Deeann Palmer | Counselor | 1650 S Amphlett Blvd Ste 113, San Mateo, CA 94402-2514 | 2016-06-29 |
| 1033566252 | Vivian Koroluk | Counselor | 803 S Grant St, San Mateo, CA 94402-1413 | 2016-05-17 |
| 1720442452 | Jamie Holden | Counselor | 1510 Fashion Island Blvd #110, San Mateo, CA 94404-1596 | 2016-04-08 |
| 1386000701 | Geraldine Punzalan | Counselor | 1670 S Amphlett Blvd Ste 15, San Mateo, CA 94402-2510 | 2016-01-14 |
| Find all providers in SAN MATEO | ||||
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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.