MS. LISA M FOREMAN (NPI# 1174510036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174510036 |
| Entity Type | Individual |
| Full Name | MS. LISA M FOREMAN |
| Credential | NP-C |
| Practice Address |
9900 Medlock Bridge Rd Duluth GA 30097-2017 |
| Practice Telephone | 7704970699 |
| Practice Fax Number | 7704970388 |
| Mailing Telephone | 7704970699 |
| Mailing Fax Number | 7704970388 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN154091 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P00164422 | 01 |
| GA | RN LICENSE | RN154091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1366749954 | Lisa Diane Foreman | Nurse Practitioner | 300 Medical Center Dr Ste 100, Gadsden, AL 35903-1139 | 2011-02-17 |
| Street Address |
9900 MEDLOCK BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082084 | Leslie C Gray | Specialist | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2005-06-02 |
| 1376848549 | Nathina Scarlett Melton | Physician Assistant | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2011-01-20 |
| 1205013141 | Kristin Hendren Magee | Dermatology | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2008-01-22 |
| 1295800803 | Dermatology Center of Atlanta | Specialist | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1588159388 | Marilyne Jones | Nurse Practitioner | 3920 Club Dr Apt 724, Duluth, GA 30096-7101 | 2018-06-25 |
| 1225534977 | Philip Douglas Knese | Nurse Practitioner | 1012 E 2nd St Bldg A, Duluth, MN 55805-2200 | 2018-04-02 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1477964559 | Vincentia Asantewah Adjei | Nurse Practitioner | 6340 Sugarloaf Pkwy Ste 200, Duluth, GA 30097-4329 | 2014-05-12 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1992864821 | The College of St. Scholastica | Nurse Practitioner | Css 1200 Kenwood Avenue, Student Health Service, Duluth, MN 55811 | 2006-12-06 |
| 1508979253 | New Day Health | Nurse Practitioner | 1180 88th Ave. West, Suite 2, Duluth, MN 55808 | 2006-08-16 |
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
| Find all providers in DULUTH | ||||
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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.