LISA DEGARMO (NPI# 1063727485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063727485 |
| Entity Type | Individual |
| Full Name | LISA DEGARMO |
| Credential | N.P. |
| Practice Address |
6550 Fannin St Suite 1601 Houston TX 77030-2717 |
| Practice Telephone | 7134415141 |
| Mailing Telephone | 7134415141 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 717207 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP119349 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID CSHCN | 217937602 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 1063727485 | 01 |
| TX | 217937603 | 05 | |
| TX | RR MEDICARE | P01048887 | 01 |
| TX | 217937601 | 05 | |
| TX | BCBS | 827N59 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033617196 | Lisa Degarmo | Behavioral Analyst | 30381 Chieftain Dr, Logan, OH 45701 | 2018-01-24 |
| Street Address |
6550 FANNIN ST SUITE 1601 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365452 | Donald T. Donovan | Otolaryngology | 6550 Fannin St, Houston, TX 77030-2717 | 2005-06-08 |
| 1386268738 | Elisabeth Anne Plotner | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-06-02 |
| 1750901773 | Stephenia Chiazoka Nwogu | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-20 |
| 1174152086 | Okechukwu Onuma Okidi | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-02 |
| 1497396808 | Brandon V Barrera | Nurse Practitioner | 6550 Fannin St, Houston, TX 77030-2717 | 2019-10-07 |
| 1588215008 | Aaron Joel Spooner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6550 Fannin St, Houston, TX 77030-2717 | 2019-09-25 |
| 1376109785 | Paul Haddad | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-05-13 |
| 1275095325 | Jerica Podrat | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-04-05 |
| 1205318235 | William Henry Orme | Psychologist | 6550 Fannin St, Smith Tower, Suite 2509, Houston, TX 77030 | 2018-09-06 |
| 1922580661 | Ugochi Raina Ukachukwu | Registered Nurse | 6550 Fannin St, Houston, TX 77030-2717 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| 1003444548 | Evan Brietzke | Nurse Practitioner | 5325 Nina Lee Ln, Houston, TX 77092-5211 | 2020-03-30 |
| 1154955060 | Jacob Tyler Parrish | Nurse Practitioner | 10918 Sagevale Ln, Houston, TX 77089-3709 | 2020-02-29 |
| 1609409903 | Francoise Le | Nurse Practitioner | 6411 Fannin St # J1-400, Houston, TX 77030-1501 | 2020-02-15 |
| 1346873650 | Marcus Patrick Bautista | Nurse Practitioner | 6770 Bertner Ave Ste C355, Houston, TX 77030-2604 | 2020-02-14 |
| 1235786161 | Marcia Wilbourn | Nurse Practitioner | 14342 Cranbrook Creek Ln, Houston, TX 77044-6069 | 2019-08-26 |
| 1548815871 | Molly A Varghese | Nurse Practitioner | 10043 Rhiney Ct, Houston, TX 77089-7045 | 2019-08-05 |
| 1801358122 | Elizabeth Duran | Nurse Practitioner | 6720 Bertner Ave # O-520, Houston, TX 77030-2604 | 2019-04-04 |
| 1497213458 | Shealynn Walker | Nurse Practitioner | 3800 Tanglewilde St Apt 1004, Houston, TX 77063-5163 | 2019-03-08 |
| 1568927002 | Lucia Belleza Delapaz | Nurse Practitioner | 6624 Fannin St Ste 1630, Houston, TX 77030-2328 | 2019-02-08 |
| Find all providers in HOUSTON | ||||
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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.