LISA A EVERITT (NPI# 1013916568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013916568 |
| Entity Type | Individual |
| Full Name | LISA A EVERITT |
| Credential | PA |
| Practice Address |
5900 Lake Wright Dr Norfolk VA 23502-1871 |
| Mailing Address |
5900 Lake Wright Dr Suite 300 Norfolk VA 23502-1871 |
| Practice Telephone | 7574668683 |
| Practice Fax Number | 7574660250 |
| Mailing Telephone | 7572135700 |
| Mailing Fax Number | 7572135701 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110001877 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001877 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 10019822P | 01 |
| VA | 1013916568 | 05 |
| Street Address |
5900 LAKE WRIGHT DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293966 | Burton F Alexander IIi | Specialist | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2005-05-23 |
| 1689293003 | Joseph Fitzpatrick Doyle | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-04-15 |
| 1235765306 | Mallory Matheson | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2020-03-20 |
| 1194282483 | Stacey Warburton | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2019-02-22 |
| 1346637873 | Karen Woodhouse | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-04-22 |
| 1679965099 | Kristen Rae Taylor | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-02-22 |
| 1699165910 | Juli M Phillips | Nurse Practitioner | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-01-26 |
| 1881010528 | Amanda M Becker | Social Worker | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2014-03-05 |
| 1275961336 | Ashley Maria Payne Martin | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-10-28 |
| 1932532744 | Tifany Lewis | Genetic Counselor, MS | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1205345584 | Cassandra Lee Elverum | Physician Assistant | 600 Childrens Ln, Norfolk, VA 23507 | 2017-09-29 |
| 1790904456 | Thomas George Parish | Physician Assistant | 700 W Olney Rd, Norfolk, VA 23507-1607 | 2007-04-24 |
| 1649345372 | Ronald E Nave | Physician Assistant | 814 Kempsville Rd Ste 104, Norfolk, VA 23502-4001 | 2006-11-21 |
| 1073581823 | Karen Hintz Charlton | Physician Assistant | 1035 Nidar Blvd, Norfolk, VA 23521 | 2006-03-09 |
| 1902876931 | Mark Alan Gellasch | Physician Assistant | Branch Medical Clinic Norfolk, 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-24 |
| 1073132551 | Ashley Makie | Physician Assistant | 3 Cedar St, Norfolk, MA 02056-1566 | 2020-04-14 |
| 1376179465 | Emily J Laughlin | Physician Assistant | 6379 Center Dr, Norfolk, VA 23502-4102 | 2020-03-20 |
| 1629604095 | Erin Anne Gray | Physician Assistant | 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 | 2020-03-18 |
| Find all providers in NORFOLK | ||||
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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.