LISA PAULETTE PANISH (NPI# 1073669172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073669172 |
| Entity Type | Individual |
| Full Name | LISA PAULETTE PANISH |
| Other Name | LISA PAULETTE WILSON |
| Practice Address |
9009 Corporate Lake Dr Tampa FL 33634-2367 |
| Practice Telephone | 7274330157 |
| Mailing Telephone | 7274330157 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN2975062 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9009 CORPORATE LAKE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783660 | Leanne Lenee Dragone | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2005-07-13 |
| 1043872658 | Rupa Mellissa Narine | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2019-07-03 |
| 1295204329 | Wallace Jerome Devries Jr. | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2018-11-19 |
| 1578081709 | Felicia Majkich | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2017-09-08 |
| 1528511342 | Jennifer Ferro | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2016-07-28 |
| 1730544685 | Margarita Cunningham | Nurse Practitioner | 9009 Corporate Lake Dr, Suite 200, Tampa, FL 33634-2367 | 2015-12-19 |
| 1861878100 | Keiosha Townsend | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2015-08-10 |
| 1174919377 | Ryan Wilson Macalua | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2015-04-14 |
| 1841689635 | Brandon Garry Alters | Nurse Practitioner | 9009 Corporate Lake Dr, Tampa, FL 33634-2367 | 2015-01-15 |
| 1235539925 | Teresita Hardin | Nurse Practitioner | 9009 Corporate Lake Dr, Suite 200, Tampa, FL 33634-2367 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1912510926 | Oneeka Green | Nurse Practitioner | 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 | 2020-08-28 |
| 1578193520 | Quankela Tillman | Nurse Practitioner | 2604 Lindell Ave, Tampa, FL 33610-7757 | 2020-01-17 |
| 1891272076 | Jehad Saleh | Nurse Practitioner | 317 E Hanlon St, Tampa, FL 33604-4130 | 2018-07-20 |
| 1003332313 | Gail Deanne Roth | Nurse Practitioner | 4604 Brownwood Ct, Tampa, FL 33624-1118 | 2017-08-17 |
| 1538697511 | Heather Hughes | Nurse Practitioner | 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 | 2017-06-02 |
| 1215353073 | Crystal Danae Van Dette | Nurse Practitioner | 2919w Swann Ave 102, Tampa, FL 33609-4049 | 2014-03-17 |
| 1912056169 | Wendy Heather Hull | Nurse Practitioner | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 | 2007-01-09 |
| 1467482380 | Ags Healthcare Specialists Inc | Nurse Practitioner | 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 | 2006-07-04 |
| 1023001633 | Linda K Beagle | Nurse Practitioner | 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 | 2005-08-30 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on LISA PAULETTE PANISH.
| 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.