MRS. LISA MARIE ROSE-CANTRELL (NPI# 1114053345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114053345 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE ROSE-CANTRELL |
| Credential | FNP |
| Practice Address |
5440 Hillandale Drive Kaiser Permanente Panola Medical Center Lithonia GA 30058 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7703223216 |
| Practice Fax Number | 7709381759 |
| Mailing Telephone | 4043647070 |
| Mailing Fax Number | 7709381759 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN190406NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5440 HILLANDALE DRIVE KAISER PERMANENTE PANOLA MEDICAL CENTER |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068467 | Valens Marsilius Plummer | Family Medicine | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2005-07-21 |
| 1467850578 | Jayne N Andrade | Nurse Practitioner | 5440 Hillandale Drive, Kaiser Permanente, Lithonia, GA 30058 | 2014-12-05 |
| 1023429990 | Agnes P Oyewo | Nurse Practitioner | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 | 2014-05-14 |
| 1992065635 | Shawna Carrigan Joshi | Nurse Practitioner | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2012-05-28 |
| 1417125493 | Fatu Monique Forna | Obstetrics & Gynecology | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2008-02-13 |
| 1669659199 | Amy M. Levine | Pediatrics | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2008-01-28 |
| 1972799062 | Fiona Carolyn Baldwin | Family Medicine | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2007-09-21 |
| 1821296997 | Daniel Candelario Lopez | Family Medicine | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 | 2007-07-10 |
| 1114073236 | Sherennah Wynette Herring | Advanced Practice Midwife | 5440 Hillandale Drive, Kaiser Permanente, Lithonia, GA 30058 | 2007-01-25 |
| 1891844635 | Karlene Marie Hart | Family Medicine | 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GU 30058 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489911 | Jamay R Logan | Nurse Practitioner | 6515 Chaparral Ln, Lithonia, GA 30038-3107 | 2019-04-02 |
| 1174018386 | Adekunle Olatunde | Nurse Practitioner | 2219 Clayton Rdg, Lithonia, GA 30058-2608 | 2018-06-29 |
| 1679076525 | Debra Ann Stover | Nurse Practitioner | 1350 Swift Creek Ct, Lithonia, GA 30058-3005 | 2018-03-16 |
| 1154856821 | Diedre Campbell | Nurse Practitioner | 6561 Shaffers Way, Lithonia, GA 30058-6427 | 2017-05-01 |
| 1851839484 | Karen Griffiths | Nurse Practitioner | 4836 Lantern Ct, Lithonia, GA 30038-7552 | 2017-02-02 |
| 1982057469 | Maxine Rockhead | Nurse Practitioner | 5332 Salem Springs Pl, Lithonia, GA 30038-4850 | 2016-07-19 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1063877587 | Lenice Murdock-cohen | Nurse Practitioner | 3641 Raiders Ridge Dr, Lithonia, GA 30038-3664 | 2015-12-28 |
| 1326413980 | Natalie Akerele | Nurse Practitioner | 7704 Outcrop Pass, Lithonia, GA 30058-6515 | 2015-12-08 |
| 1255604682 | Candace Weston | Nurse Practitioner | 6233 Marbut Farms Ln, Lithonia, GA 30058-8978 | 2012-02-15 |
| Find all providers in LITHONIA | ||||
Please comment or provide details below to improve the information on MRS. LISA MARIE ROSE-CANTRELL.
| 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.