MRS. LISA MARIE GORMAN (NPI# 1023207248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023207248 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE GORMAN |
| Credential | R.N. |
| Practice Address |
17 Carol Ct Conklin NY 13748-1435 |
| Practice Telephone | 6077759363 |
| Mailing Telephone | 6077759363 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
447679-1 | NY | Nursing Service Providers |
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
447679-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02847670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536844 | Lisa M Gorman | Nurse Practitioner | 6240 N Durango Dr Ste 120, Las Vegas, NV 89149-3916 | 2019-06-11 |
| 1619924925 | Lisa Marie Gorman | Dentist | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-05-30 |
| Street Address |
17 CAROL CT |
| City | CONKLIN |
| State | NY |
| Zip Code | 13748-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646290 | Kaethe Beth Mitchell | Registered Nurse | Susquehanna Valley High School, 1040 Conklin Rd, Conklin, NY 13748 | 2019-08-29 |
| 1447523451 | Catherine Margret Mcgowan | Registered Nurse | 1050 Conklin Road, Susquehanna Valley Central School District, Conklin, NY 13748 | 2012-02-22 |
| 1467786236 | Colleen Anne Naylor | Registered Nurse | 1168 Conklin Rd, Conklin, NY 13748 | 2009-09-28 |
| 1720697014 | Annheleen Amy Smith | Social Worker | 1102 Conklin Road, Conklin, NY 13748 | 2020-07-23 |
| 1821003260 | Progressive Dental, Pllc | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-07-31 |
| 1033256698 | Cheryl Ann Ganz | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2007-01-31 |
| 1437241817 | Jennifer Long Redmore | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-09-29 |
| 1013923465 | Herman Sonny Spera IIi | Dentist | 703 Conklin Rd, Conklin, NY 13748-0198 | 2006-07-31 |
| 1831430933 | Deeley Physical Therapy, PC | Clinic/Center | 970 Conklin Rd., Conklin, NY 13748-1133 | 2013-03-14 |
| 1710223193 | Evelyn M Deeley | Physical Therapist | 1070 Conklin Rd, Conklin, NY 13748-1133 | 2012-12-12 |
| Find all providers in zip 13748 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023909 | Joshua Ryan Fox | Registered Nurse | 97 Lianne Dr, Rochester, NY 14626-5337 | 2020-11-06 |
| 1386242261 | Asha Ewrse | Registered Nurse | 24022 Weller Ave, Rosedale, NY 11422-2316 | 2020-10-13 |
| 1407454689 | Emily Rose Hale | Registered Nurse | 58 Evanston Pl, Buffalo, NY 14220-2641 | 2020-10-11 |
| 1750998142 | Keely May Craig | Registered Nurse | 400 W 113th St Apt 410, New York, NY 10025-1770 | 2020-09-29 |
| 1548876055 | Bridget Anne Muscatello | Registered Nurse | 2551 Country Ln, Baldwinsville, NY 13027-9606 | 2020-09-20 |
| 1881209252 | Emily Francesca | Registered Nurse | 80 Corona Rd, Rochester, NY 14615-2643 | 2020-09-12 |
| 1033727649 | Samantha Ashley Hedges | Registered Nurse | 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 | 2020-07-20 |
| 1053932921 | Jennifer Thomas | Registered Nurse | 1835 Baird Rd, Penfield, NY 14526-1045 | 2020-05-02 |
| 1447870241 | Carrie Marie Meyer | Registered Nurse | 3 Lucia Cir, North Chili, NY 14514-9632 | 2020-04-21 |
| 1255968087 | Anna Marie Marcy | Registered Nurse | 44 Dundas Dr, Rochester, NY 14625-1369 | 2020-03-23 |
| Find all providers with the same taxonomy | ||||
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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.