SKYLAR ALEXA LISSE


Address: 426 S Columbus St, Alexandria, VA 22314-3606
Phone: 7038513768

SKYLAR ALEXA LISSE (NPI# 1114491248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114491248
Entity Type Individual
Full Name SKYLAR ALEXA LISSE
Credential PA
Practice Address 426 S Columbus St
Alexandria
VA 22314-3606
Practice Telephone 7038513768
Mailing Telephone 7038513768
Enumeration Date 2019-01-11
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110007097 VA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 426 S COLUMBUS ST
City ALEXANDRIA
State VA
Zip Code 22314-3606

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NPI Name Taxonomy Address Enumeration
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1508321860 Turning Point Counseling Services LLC Social Worker 500 North Washington St, Alexandria, VA 22314 2019-01-31
1841769981 Melanie Lynn Froemke Social Worker Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 2018-11-19
1245718394 Kmt Medical Transport LLC Non-emergency Medical Transport (VAN) 1727 King St Ste 300, Alexandria, VA 22314 2018-07-31
1730678632 Jacquelyn Clarissa Lusk Social Worker 1340 Braddock Place, Alexandria, VA 22314 2018-05-07
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1114478930 Tanne B Gabler Social Worker 719 S. Fayette St, Alexandria, VA 22314 2016-10-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962015750 Hannah Wallen Physician Assistant 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 2020-08-31
1811509953 Trenton Todd Thelen Physician Assistant 2000 Huntington Ave Apt 1201, Alexandria, VA 22303-1715 2020-08-19
1497310056 Melissa Marie Spooner Physician Assistant 277 S Washington St Ste 100, Alexandria, VA 22314-3678 2019-05-08
1568025880 Rola Mourad Physician Assistant 7508 Snowpea Ct Unit F, Alexandria, VA 22306-2258 2019-04-22
1891151494 Michelle Malzahn Shelton Physician Assistant Red River Cardiology, 201 4th Street, Ste. 4a, Alexandria, LA 71301-8421 2016-01-12
1285004051 Virginia Minehart Cinzano Physician Assistant 6355 Walker Ln Ste 401, Alexandria, VA 22310-3250 2015-10-05
1457791956 Elise Marie Nash Ferre Physician Assistant 6161 Edsall Rd, Apt 203, Alexandria, VA 22304-4166 2013-06-28
1114266954 Stella M Meusch Physician Assistant 4230 Seminary Rd, Alexandria, VA 22304 2013-02-13
1396080800 Laura Provenzano Physician Assistant 3117 Duke St, Alexandria, VA 22314-4518 2012-12-10
1275885071 Jenna Elizabeth Pentecost Williford Physician Assistant 3802 Prescott Rd., Alexandria, LA 71301 2012-10-04
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Competitor

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City ALEXANDRIA
Zip Code 22314

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Dataset Information

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.

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