LISA GREGORY (NPI# 1104254275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104254275 |
Entity Type | Individual |
Full Name | LISA GREGORY |
Credential | NURSE PRACTITIONER |
Practice Address |
26957 Northwestern Hwy Ste 400 Southfield MI 48033-8456 |
Practice Telephone | 9895745940 |
Mailing Telephone | 9895745940 |
Enumeration Date | 2013-10-28 |
Last Update Date | 2015-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704219837 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417394248 | Lisa Ann Gregory | Licensed Practical Nurse | 1704 Willowpark Ct, Powell, OH 43065-9298 | 2013-06-03 |
1154682375 | Lisa Glynis Gregory | Specialist | 172 Brushy Hill Rd, Newtown, CT 06470-2520 | 2012-06-05 |
1285710624 | Lisa Katheryn Gregory | Chiropractor | 102 E Virginia Ave, Pineville, KY 40977-1671 | 2006-10-28 |
1104430040 | Lisa Marie Gregory | Physical Therapist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2020-09-08 |
1053793133 | Lisa Gregory | Massage Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2015-06-24 |
1730588260 | Lisa Gregory | Registered Nurse | 615 S New Ballas Rd, Creve Coeur, MO 63141-8221 | 2014-08-20 |
1881826196 | Lisa Carol Gregory | Nurse Practitioner | 1000 N 16th St, Suite # 240, New Castle, IN 47362-4319 | 2009-08-20 |
1760419949 | Lisa Gregory | Social Worker | 7459 Burlington Pike, Florence, KY 41042-1553 | 2006-06-26 |
Street Address |
26957 NORTHWESTERN HWY STE 400 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033-8456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245661628 | Dawn Campbell | Registered Nurse | 26957 Northwestern Hwy Ste 400, Southfield, MI 48033-8456 | 2013-12-10 |
1508297987 | Cheryl Petersen | Registered Nurse | 26957 Northwestern Hwy Ste 400, Southfield, MI 48033-8456 | 2013-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999793 | Sharon Boyd | Nurse Practitioner | 16213 Lamplighter Ct Apt 1114, Southfield, MI 48075-3536 | 2020-07-15 |
1609414218 | Ruby Nzoma | Nurse Practitioner | 25774 Dunbar St, Southfield, MI 48033-5859 | 2019-12-13 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1093364473 | Abra Perlman | Nurse Practitioner | 17309 Hilton St, Southfield, MI 48075-7018 | 2019-09-08 |
1154980134 | Ahmed Rezk | Nurse Practitioner | 29877 Telegraph Rd Ste 301, Southfield, MI 48034-7660 | 2019-06-12 |
1841857885 | Laronda Morenike Allen | Nurse Practitioner | 18272 New Hampshire Dr, Southfield, MI 48075-8102 | 2019-05-24 |
1902374986 | Theresa Owusu-ansah | Nurse Practitioner | 26206 W 12 Mile Rd Ste 302, Southfield, MI 48034-8501 | 2018-11-07 |
1003381500 | Theonna Monique Hindmon-harris | Nurse Practitioner | 21700 Northwestern Hwy Ste 815, Southfield, MI 48075-4922 | 2018-10-10 |
1922592872 | Melanie Jenkins | Nurse Practitioner | 23407 Park Place Dr, Southfield, MI 48033-7116 | 2018-06-14 |
1487155024 | Timothy O Gates | Nurse Practitioner | 16250 Northland Dr Ste 369, Southfield, MI 48075-1524 | 2018-02-27 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48033 |
Please comment or provide details below to improve the information on LISA GREGORY.
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.