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).
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 |
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 |
Street Address |
426 S COLUMBUS ST |
City | ALEXANDRIA |
State | VA |
Zip Code | 22314-3606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
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 |
1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
Find all providers in zip 22314 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22314 |
Please comment or provide details below to improve the information on SKYLAR ALEXA LISSE.
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.