LISA V. ELVIN (NPI# 1083746887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083746887 |
| Entity Type | Individual |
| Full Name | LISA V. ELVIN |
| Credential | NP |
| Practice Address |
2 Bon Air Rd Suite 120 Larkspur CA 94939-1141 |
| Practice Telephone | 4159275300 |
| Practice Fax Number | 4159275242 |
| Mailing Telephone | 4159275300 |
| Mailing Fax Number | 4159275242 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8864 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP | 8864 | 01 |
| CA | RN | 382183 | 01 |
| Street Address |
2 BON AIR RD SUITE 120 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816917 | Margaret L. Baer | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1023664869 | Chris Kane | Physical Therapist | 2 Bon Air Rd, Larkspur, CA 94939-1141 | 2019-08-16 |
| 1508139536 | Brigette Lofholm | Pharmacist | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2012-02-22 |
| 1164795829 | Marin Healthcare District | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2012-02-10 |
| 1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
| 1306156781 | Shannon Browning | Nurse Practitioner | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2010-10-19 |
| 1083934301 | Kimberly Hoagland Madsen | Dietitian, Registered | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2010-06-09 |
| 1346571312 | Sarah M Lamb | Clinical Nurse Specialist | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2010-01-14 |
| 1629233051 | Kabir Jeewan Singh | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2008-07-24 |
| 1063690782 | Brian Su | Orthopaedic Surgery | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939-1141 | 2008-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982838140 | Nancy Fairlie Muggoch | Nurse Practitioner | 17 East Sir Francis Drake Ave, Larkspur, CA 94939-1727 | 2009-05-04 |
| 1578021960 | Jennifer Greenway | Nurse Practitioner | 2 Bon Air Rd Ste 100, Larkspur, CA 94939-1144 | 2019-03-05 |
| 1154757755 | Erin Danial | Nurse Practitioner | 17 E Sir Francis Drake Blvd, Larkspur, CA 94939-1727 | 2013-09-16 |
| 1891034328 | Margo Elizabeth Hanlan | Nurse Practitioner | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2013-02-04 |
| 1306156781 | Shannon Browning | Nurse Practitioner | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2010-10-19 |
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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.