LISA A CLEMENS (NPI# 1124478417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478417 |
| Entity Type | Individual |
| Full Name | LISA A CLEMENS |
| Credential | RN,CDE |
| Practice Address |
2430 20th St Sw Jamestown ND 58401-6201 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7012535300 |
| Practice Fax Number | 7012535402 |
| Mailing Telephone | 7013648000 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R27131 | ND | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215244421 | Lisa M Clemens | Physician Assistant | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2010-09-09 |
| 1851436455 | Lisa Clemens | Physical Therapist | 2601 Chimney Rock Rd, Hendersonville, NC 28792-9673 | 2007-02-21 |
| 1033224597 | Lisa Ace Clemens | Marriage & Family Therapist | 855 Canyon Rd, Redding, CA 96001-5544 | 2006-08-21 |
| Street Address |
2430 20TH ST SW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620728 | Patricia A Kline | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2006-04-25 |
| 1740887207 | Sheila Kinzler | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-10-07 |
| 1225648736 | Teresa D Formo | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-08-10 |
| 1659841542 | Jessica Whitney Ingemansen | Physician Assistant | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-12-04 |
| 1902382260 | Joann Delane Trader | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-07-19 |
| 1205350808 | Kilby P Osborn Iv | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2017-07-26 |
| 1457872640 | Holli L Marquart | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2017-06-28 |
| 1487023180 | Carmen Mittleider | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2015-09-23 |
| 1225445463 | Fargo Vamc | Clinic/Center | 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 | 2014-07-21 |
| 1356618870 | Jill Catherine Kang | Podiatrist | 2430 20th St Sw, Jamestown, ND 58401 | 2011-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
| 1104817196 | Kathleen Krieg | Registered Nurse | 207 Foote Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1669984340 | Sharon Michelle Dunham | Registered Nurse | 801 Broadway N Ste 1221, Fargo, ND 58102-3641 | 2017-11-02 |
| 1952620080 | Rebecca L Haman | Registered Nurse | 1015 S Broadway Ste 2, Minot, ND 58701-4667 | 2010-05-28 |
| 1184224263 | Crystal Lynn Armbrust | Registered Nurse | 33 9th St W, Dickinson, ND 58601-3950 | 2020-10-28 |
| 1497352652 | Crystal Armbrust | Registered Nurse | 33 9th St W, Dickinson, ND 58601-3950 | 2020-10-01 |
| 1306456470 | Darcy Thompson | Registered Nurse | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-08-04 |
| 1528683729 | Kathryn Mary Moch | Registered Nurse | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-06-12 |
| 1295369882 | Nicolette Lyn Tippett | Registered Nurse | 2615 Fairway St, Dickinson, ND 58601-2590 | 2020-02-24 |
| 1659847572 | Rhonda Pfenning | Registered Nurse | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-10-18 |
| 1235625070 | Lynette Silbernagel | Registered Nurse | 2500 Fairway St, Dickinson, ND 58601-2639 | 2018-07-05 |
| Find all providers with the same taxonomy | ||||
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| 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.