LISA ALEXANDER (NPI# 1104334929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104334929 |
| Entity Type | Individual |
| Full Name | LISA ALEXANDER |
| Other Name | LISA MCNICHOLAS |
| Credential | CDCA |
| Practice Address |
4930 Enterprise Dr Nw Warren OH 44481-8706 |
| Practice Telephone | 3307870955 |
| Mailing Telephone | 3307870955 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 169481 | OH | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 165655 | OH | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760642 | Lisa Angeli Alexander | In Home Supportive Care | 1400 Herbert Dr Apt J, Lorain, OH 44053-3549 | 2020-08-11 |
| 1649603291 | Lisa Boudreaux Alexander | Nurse Practitioner | 4141 N University Ave, Carencro, LA 70520-4204 | 2013-08-19 |
| 1225232390 | Lisa A Alexander | Physical Therapist | 2505 Hualapai Mountain, Suite E, Kingman, AZ 86401 | 2007-06-13 |
| 1629028493 | Lisa Landrum Alexander | Social Worker | 308 Barnes Rd, Williamstown, KY 41097-9483 | 2006-05-11 |
| 1316924483 | Lisa Alexander | Social Worker | 22 Spear Street, Quincy, MA 02169 | 2005-12-29 |
| 1306325881 | Lisa Alexander | Social Worker | 4463 Cricket Ridge Dr Apt 202, Holt, MI 48842-2933 | 2018-08-07 |
| 1750875878 | Lisa Trina Alexander | Case Manager/Care Coordinator | 508 S 2nd Ave, Covina, CA 91723-3012 | 2018-06-21 |
| 1356759559 | Lisa Alexander | Speech-Language Pathologist | 2000 Cambridge Dr, Davidsville, PA 15928-9220 | 2014-07-31 |
| 1457787574 | Lisa V Alexander | Physical Therapist | 2221 Peachtree Rd Ne, Suite D336, Atlanta, GA 30309-1148 | 2013-09-20 |
| 1841569340 | Lisa Marie Alexander | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2011-12-29 |
| Street Address |
4930 ENTERPRISE DR NW |
| City | WARREN |
| State | OH |
| Zip Code | 44481-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766859 | Joseph Lydon Jr. | Anesthesiology | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2005-08-09 |
| 1932707304 | Wendy Tyler | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-10-16 |
| 1235740507 | Amanda Kehres | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-08-11 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1780206540 | Andrea Christine Matzye | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-05-14 |
| 1174159990 | Gregory Solomon | Social Worker | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-13 |
| 1215562186 | James Meyer | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-11 |
| 1144852864 | Gaye Tyhosky | Registered Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-02-11 |
| 1124667514 | Dalton Kinder | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-01-02 |
| 1144865627 | Laurissa Summerlin | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1780036079 | Carol Henderson | Counselor | 320 High St Ne, Warren, OH 44481 | 2016-07-11 |
| 1801112081 | Michael F Potesta | Psychiatry & Neurology | 150 E Market St, Warren, OH 44481 | 2010-04-13 |
| 1568592624 | June Marie Mollic | Counselor | 150 E Market St, Warren, OH 44481 | 2007-03-07 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1376805515 | 10th District Substance Abuse Treatment Center | Substance Abuse Rehabilitation Facility | 412 York St, Warren, AR 71671-3218 | 2012-06-13 |
| 1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on LISA ALEXANDER.
| 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.