LISA MARIE ROPER (NPI# 1063455608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063455608 |
| Entity Type | Individual |
| Full Name | LISA MARIE ROPER |
| Other Name | LISA MARIE WHITE |
| Credential | B.S, ATC, LAT |
| Practice Address |
1900 W Pine Ave Meridian ID 83642-1961 |
| Mailing Address |
4075 N Tallgrass Ave Meridian ID 83646-2613 |
| Practice Telephone | 2083504160 |
| Practice Fax Number | 2083504178 |
| Mailing Telephone | 2089365445 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | AT-374 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-148663 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AT-374 | 1063455608 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378163 | Lisa Marie Roper | Speech-Language Pathologist | 910 Oakhill Road, Jasper, AL 35504 | 2010-10-18 |
| 1174057442 | Lisa Roper | Case Manager/Care Coordinator | 101 N Front St, Chowchilla, CA 93610-2916 | 2017-04-13 |
| Street Address |
1900 W PINE AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321864 | Scott Edward Marema | Specialist/Technologist | 1900 W Pine Ave, Meridian, ID 83642-1961 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416753 | Rose Marie Brown | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-06 |
| 1497365266 | Christian Mccord | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-05 |
| 1457961229 | James Mccord | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
| 1831755925 | Justin Law | Specialist/Technologist | 500 W Fort St, Boise, ID 83702-4501 | 2019-05-14 |
| 1447636998 | Michael William Stanton | Specialist/Technologist | 500 W Fort St, Boise, ID 83702-4501 | 2015-08-07 |
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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.