LISA M GILLETTE (NPI# 1053743716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053743716 |
| Entity Type | Individual |
| Full Name | LISA M GILLETTE |
| Credential | ARNP |
| Practice Address |
24215 Pacific Hwy S Des Moines WA 98198-4024 |
| Mailing Address |
1200 12th Ave S Suite 901 Seattle WA 98144-2712 |
| Practice Telephone | 2064366380 |
| Practice Fax Number | 2064366385 |
| Mailing Telephone | 2065483114 |
| Mailing Fax Number | 2067626355 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60387105 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405873 | Lisa Farrer Gillette | Technician, Other | 10042 Mulberry Ln, Grand Blanc, MI 48439-2535 | 2015-05-01 |
| 1710473574 | Lisa M Gillette | Counselor | 237 Highland Ave, Needham, MA 02494-3036 | 2018-07-05 |
| 1215908124 | Lisa Marie Gillette | Family Medicine | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2006-01-30 |
| Street Address |
24215 PACIFIC HWY S |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694982 | Jai Jun Byeon | Family Medicine | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2006-05-12 |
| 1649646795 | Kip Nielsen | Dentist | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2015-08-12 |
| 1982022356 | Rebecca Nebel | Nurse Practitioner | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2014-04-02 |
| 1528116191 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1508477316 | Frederick James Nesbit IIi | Nurse Practitioner | 500 N Valley Dr Unit 804, Des Moines, IA 50312-1625 | 2020-08-14 |
| 1992322465 | Angela Monique Dudley | Nurse Practitioner | 3412 Crestmoor Pl, Des Moines, IA 50310-5011 | 2020-07-01 |
| 1952944910 | Tina Marie Vosberg | Nurse Practitioner | 400 Locust St Ste 400, Des Moines, IA 50309-2352 | 2019-10-22 |
| 1568968121 | Maria Theresa Latoja-lovan | Nurse Practitioner | 2508 East 48th Street, None, Des Moines, IA 50317-4736 | 2018-04-03 |
| 1851831499 | Lacey Rae Cheeseman | Nurse Practitioner | 3200 Grand Ave # 6, Des Moines, IA 50312-4104 | 2017-03-01 |
| 1346784808 | Ashley Grace Brown | Nurse Practitioner | 2105 Ingersoll Ave Ste 101, Des Moines, IA 50312-5201 | 2016-12-16 |
| 1811354483 | Renea Lynn Kestel | Nurse Practitioner | 1200 University Ave Ste 1200, Des Moines, IA 50314-2343 | 2016-01-27 |
| 1649658014 | Megan Bradley | Nurse Practitioner | 4020 Merle Hay Rd Ste 100, Des Moines, IA 50310-1310 | 2015-05-18 |
| 1245624626 | Blake C Williams | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2015-03-24 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
Please comment or provide details below to improve the information on LISA M GILLETTE.
| 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.