MRS. LISA JOY WALTERS (NPI# 1164773941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164773941 |
| Entity Type | Individual |
| Full Name | MRS. LISA JOY WALTERS |
| Credential | MSED |
| Practice Address |
6 Ashford Dr Lake Grove NY 11755-2808 |
| Mailing Address |
6 Ashford Drive Lakegrove NY 11755 |
| Practice Telephone | 6315885176 |
| Mailing Telephone | 6315885176 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | $$$$$$$$$ | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588805360 | Lisa Ann Walters | Counselor | 7917 Highland Park Dr, Ashland, KY 41102-9032 | 2009-03-09 |
| 1326161696 | Lisa Ann Walters | Specialist | 477 N Sawburg Ave, Alliance, OH 44601-1506 | 2007-04-09 |
| 1396204640 | Lisa Walters | Occupational Therapy Assistant | 4702 Nc Highway 48, Roanoke Rapids, NC 27870-8505 | 2019-03-17 |
| 1790274819 | Lisa Marie Walters | Counselor | 2006 Valparaiso St, Valparaiso, IN 46383-3138 | 2018-05-03 |
| 1063935484 | Lisa Jo Walters | Registered Nurse | 4815 Burning Tree Rd Ste 100, Duluth, MN 55811-3800 | 2017-07-18 |
| 1003358524 | Lisa C Walters | Physical Therapist | 99 Longwater Cir, Suite 201, Norwell, MA 02061-1642 | 2016-11-15 |
| 1245782226 | Lisa Walters | Registered Nurse | 114 Riverbank, Burlington, NJ 08016-1312 | 2016-10-26 |
| 1538499090 | Lisa Anne Walters | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2010-01-06 |
| 1396946976 | Lisa Ann Walters | Physical Therapy Assistant | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-05-30 |
| 1184636946 | Lisa W Walters | Pharmacist | 1901 S 1st St, Pharmacy Service 119t, Temple, TX 76504-7451 | 2006-08-12 |
| Street Address |
6 ASHFORD DR |
| City | LAKE GROVE |
| State | NY |
| Zip Code | 11755-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157586 | Roger Lee Kilfoil | Podiatrist | 20 Lindell Ave, Lake Grove, NY 11755 | 2015-06-26 |
| 1780070102 | Rebecca Au | Occupational Therapist | 43 Tulip Grove Drive, Lake Grove, NY 11755 | 2015-04-13 |
| 1154730943 | Nancy Allegretti | Counselor | 7 Oak Street, Lake Grove, NY 11755 | 2014-08-06 |
| 1548525074 | Dawnmarie Garrett | Case Manager/Care Coordinator | 62 Birch Street, Lake Grove, NY 11755 | 2012-07-11 |
| 1669775193 | Sonia Cristina Alonso Obregon | Speech-Language Pathologist | 6 Williams Blvd, Apto 1e, Lake Grove, NY 11755 | 2010-12-05 |
| 1932413135 | Melissa Ann Crimi | Registered Nurse | 2233 Nesconset Hwy Ste 207, Lake Grove, NY 11755 | 2010-07-29 |
| 1689991788 | Ny Theraapy Placemeny, Inc | General Acute Care Hospital | 162 Symphony Dr, Lake Grove, NY 11755 | 2010-04-28 |
| 1578886594 | Viviana Henrielte Florea | Nurse Practitioner | 3 Tower Street, First Floor, Lake Grove, NY 11755 | 2010-03-04 |
| 1194965897 | Susan Mary Byrne | Nurse Practitioner | 2780 Middle Country Road Suite 306, The Child and Family Wellness Center, Lake Grove, NY 11755 | 2009-02-20 |
| 1649449158 | Brian K. Berliner, O.d., P.C. | Optometrist | 64 Dsw Plaza, Lake Grove, NY 11755 | 2008-02-28 |
| Find all providers in zip 11755 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578069332 | Kelly Frisenda | Specialist | 20 Eliot Dr, Lake Grove, NY 11755-2512 | 2018-04-02 |
| 1174058754 | Jessica Degamon | Specialist | 11 Elston Ct, Lake Grove, NY 11755-2800 | 2017-04-20 |
| 1477087989 | Amber Rene Dinozzi | Specialist | 9 Commonwealth Ave, Lake Grove, NY 11755-1703 | 2017-04-12 |
| 1689124893 | Kristina Ikonnikow | Specialist | 41 Patricia Ln, Lake Grove, NY 11755-2840 | 2016-10-12 |
| 1639627482 | Linda Simpson | Specialist | 54 Mcgaw Ave, Lake Grove, NY 11755-2023 | 2016-09-21 |
| 1003369281 | Christina Colombo | Specialist | 18 Longstreet Dr, Lake Grove, NY 11755-2315 | 2016-07-25 |
| 1396100202 | Michele Mccauley | Specialist | 3 Haddow Ct, Lake Grove, NY 11755-2712 | 2015-12-18 |
| 1093147654 | Kristen D'aquila | Specialist | 18 Williams Blvd, Apt. 2d, Lake Grove, NY 11755-2455 | 2013-08-06 |
| 1194075143 | Toniann Marie Giordano | Specialist | 26 Hy Pl, Lake Grove, NY 11755-2337 | 2012-09-18 |
| 1811246002 | Caitlin M Granauro | Specialist | 3 Wade Dr, Lake Grove, NY 11755-2324 | 2012-09-03 |
| Find all providers in LAKE GROVE | ||||
| City | LAKE GROVE |
| Zip Code | 11755 |
Please comment or provide details below to improve the information on MRS. LISA JOY WALTERS.
| 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.