LISA CLEMENT-DEFALCO (NPI# 1053711044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711044 |
| Entity Type | Individual |
| Full Name | LISA CLEMENT-DEFALCO |
| Credential | NP |
| Practice Address |
3155 Earlysville Rd Earlysville VA 22936-9561 |
| Practice Telephone | 5087257382 |
| Mailing Telephone | 5087257382 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014014501 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3155 EARLYSVILLE RD |
| City | EARLYSVILLE |
| State | VA |
| Zip Code | 22936-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544032 | Ashley Elizabeth Holden | Specialist | 832 Reas Ford Rd, Earlysville, VA 22936 | 2015-12-31 |
| 1497887350 | American Institute for Diseases of The Prostate, Plc | Specialist | 690 Bent Oaks Dr, Earlysville, VA 22936 | 2007-03-09 |
| 1265454359 | Leo Mallek | Dentist | 690 Bent Oaks Dr, Earlysville, VA 22936-0651 | 2006-07-24 |
| 1942424650 | Donald Lee Driscoll | Dentist | 1522 Prison Road, Dillwyn, VA 22936-0670 | 2007-04-12 |
| 1770690950 | Elizabeth Ann Alcorn | Dentist | 1358 Allen Farm Ln, Earlysville, VA 22936-1853 | 2006-08-24 |
| 1922541903 | Lisa Tullo | Behavioral Analyst | 1893 Frays Ridge Xing, Earlysville, VA 22936-1878 | 2016-11-23 |
| 1558865360 | Choice Point, LLC | Behavioral Analyst | 1893 Frays Ridge Xing, Earlysville, VA 22936-1878 | 2018-03-19 |
| 1336192145 | Richard Lane | Radiology | 3824 Bleak House Rd, Earlysville, VA 22936-2206 | 2006-05-19 |
| 1740498831 | Haddon Christopher Alexander IIi | Internal Medicine | 3474 Bleak House Rd, Earlysville, VA 22936-2213 | 2007-05-20 |
| 1578572020 | Gayle Gutierrez | Psychiatry & Neurology | 70 Graemont Ln, Earlysville, VA 22936-2456 | 2006-08-05 |
| Find all providers in zip 22936 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | EARLYSVILLE |
| Zip Code | 22936 |
Please comment or provide details below to improve the information on LISA CLEMENT-DEFALCO.
| 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.