LISE A DESJARDINS (NPI# 1164643128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164643128 |
| Entity Type | Individual |
| Full Name | LISE A DESJARDINS |
| Credential | FNP-C |
| Practice Address |
756 Commercial St Rockport ME 04856-4201 |
| Mailing Address |
187 Bayside W Owls Head ME 04854-3432 |
| Practice Telephone | 2075935566 |
| Mailing Telephone | 2075941179 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R026287 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
756 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529305 | Charles Dunner | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
| 1043470842 | Charlotte M Campbell | Nurse Practitioner | 756 Commercial St, Rockport, ME 04856-4201 | 2008-06-15 |
| 1730303702 | Penobcot Bay Medical Center | Clinic/Center | 756 Commercial St, Rockport, ME 04856-4201 | 2007-04-12 |
| 1639155674 | Seacoast Ultrasound Imaging, Inc | Radiologic Technologist | 756 Commercial St, Rockport, ME 04856-4201 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064451 | Angela K Rodriguez Fnp-c, Pllc | Nurse Practitioner | 2851 Highway 35 N, Rockport, TX 78382-5712 | 2020-08-20 |
| 1568013951 | Tracy Ann Oros | Nurse Practitioner | 400 North Enterprise, Rockport, TX 78382 | 2019-09-26 |
| 1730684168 | Alma Denise Stacy | Nurse Practitioner | 1004 Ibis Dr, Rockport, TX 78382-6124 | 2018-03-27 |
| 1912456161 | Hannah Hirschfeld | Nurse Practitioner | 4 Glen Cove Dr Ste 201, Rockport, ME 04856-4238 | 2016-09-29 |
| 1982992921 | Barbara Kay Lott | Nurse Practitioner | 793 Limestone Hill Rd, Rockport, WV 26169-8220 | 2011-07-12 |
| 1942296009 | Lisa M Miller | Nurse Practitioner | 105 S 2nd St, Rockport, IN 47635-1318 | 2005-09-23 |
| 1578562260 | Richard Schacht | Nurse Practitioner | 1521 W Market St, Rockport, TX 78382-6218 | 2005-07-15 |
| 1437768991 | Jose Ruiz | Nurse Practitioner | 1902 Fm 3036, Rockport, TX 78382-9691 | 2020-07-30 |
| 1851913875 | Corinne Zdanuk | Nurse Practitioner | 6 Glen Cove Dr, Rockport, ME 04856-4272 | 2020-05-13 |
| 1336778679 | Here Or There Healthcare Pllc | Nurse Practitioner | 1004 Ibis Dr, Rockport, TX 78382-6124 | 2020-04-08 |
| Find all providers in ROCKPORT | ||||
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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.