LISA HARRISON PENN (NPI# 1093021214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093021214 |
| Entity Type | Individual |
| Full Name | LISA HARRISON PENN |
| Credential | CAC |
| Practice Address |
1310 N Hearne Ave Shreveport LA 71107-6516 |
| Practice Telephone | (318) 676-5111 |
| Practice Fax Number | 3186765137 |
| Mailing Telephone | (318) 676-5111 |
| Mailing Fax Number | 3186765137 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC1339 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528250800 | Lisa Penn | Licensed Practical Nurse | 5344 Fairtree Rd, Bedford Hts, OH 44146-1522 | 2007-08-10 |
| Street Address |
1310 N HEARNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911775 | Juanita Carmella Jones | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2005-06-10 |
| 1679106504 | Cathy Ann Eddington | Registered Nurse | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2020-02-19 |
| 1245719483 | Karla Jones-gipson | Nurse Practitioner | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2018-08-08 |
| 1104336858 | Robyn Noelle Allen | Social Worker | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2017-10-09 |
| 1740799642 | Dorothy Cary Armand | Social Worker | 1310 N Hearne Ave, Shreveport, LA 71107 | 2017-09-22 |
| 1255882221 | Stephanie Bradley | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2016-10-14 |
| 1740645845 | Antonio Thrower | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-12-16 |
| 1134594203 | Kanesha Louis | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107 | 2015-12-01 |
| 1255704524 | Laura Elizabeth Brock | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-11-08 |
| 1639540362 | Barbara Thomas | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1518505601 | Samantha Klingenberg | Counselor | 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 | 2019-12-19 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1396255980 | Christa Walker-williams | Counselor | 525 Crockett St, Shreveport, LA 71101-3601 | 2017-10-09 |
| 1174047856 | Gregory H Gentry | Counselor | 363 Sandefur Dr, Shreveport, LA 71105-3245 | 2017-08-03 |
| 1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
| 1760762470 | Jacqueline A. Danzell, Lcsw, LLC | Counselor | 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 | 2011-08-25 |
| 1811291099 | Barbara Marie Allen | Counselor | 5100 Pine Hill Rd, Shreveport, LA 71107-2604 | 2011-01-03 |
| 1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on LISA HARRISON PENN.
| 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.