MS. LISA JANE MARTIN (NPI# 1184785115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184785115 |
| Entity Type | Individual |
| Full Name | MS. LISA JANE MARTIN |
| Credential | CNS ARNP |
| Practice Address |
3791 State Route 63 Lebanon OH 45036-9371 |
| Practice Telephone | 5139321211 |
| Practice Fax Number | 5139322666 |
| Mailing Telephone | 5139321211 |
| Mailing Fax Number | 5139322666 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
KYARNP2789S | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
KYARNP2789S | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RX11806 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78003522 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300857 | Lisa Marie Martin | Social Worker | 1720 N King St, Hampton, VA 23669-1910 | 2019-11-11 |
| 1508322033 | Lisa Martin | Licensed Practical Nurse | 582 Hawthorne Hts, Lawrenceburg, IN 47025-7956 | 2019-02-20 |
| 1477022929 | Lisa Martin | Social Worker | 161 Pond View Dr, Port Washington, NY 11050-2468 | 2018-11-14 |
| 1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
| 1396127916 | Lisa Martin | Occupational Therapist | 76 Beard Dr, New Milford, CT 06776-3716 | 2015-06-19 |
| 1427494376 | Lisa Kay Martin | Nurse's Aide | 8275 96th Ave, Vero Beach, FL 32967-3848 | 2013-05-20 |
| 1730420134 | Lisa Marie Martin | Acupuncturist | 201 Auburn Way N Ste A1, Auburn, WA 98002-5062 | 2013-03-09 |
| 1427319052 | Lisa Marie Godfrey Martin | Psychologist | 206 W 1st Ave, Ellensburg, WA 98926-3002 | 2012-05-30 |
| 1376864603 | Lisa T Martin | Physical Therapist | 110 Pleasant Ave S, Park Rapids, MN 56470-1415 | 2010-06-22 |
| 1003139684 | Lisa Brown Martin | Pharmacist | 1710 Shelby Oaks Dr N, Ste 1, Memphis, TN 38134-7403 | 2010-03-10 |
| Street Address |
3791 STATE ROUTE 63 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-9371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458023 | Milly Fent | Social Worker | 3791 State Route 63, Lebanon, OH 45036-9371 | 2020-05-14 |
| 1851890297 | Scott Edward Reisinger | Psychologist | 3791 State Route 63, Lebanon, OH 45036-9371 | 2018-02-12 |
| 1376922153 | Connie Jenkins | Social Worker | 3791 State Route 63, Lebanon, OH 45036-9371 | 2015-05-26 |
| 1609254432 | Richard Hamning | Psychologist | 3791 State Route 63, Lebanon, OH 45036-9371 | 2015-05-13 |
| 1760883946 | Sarah Dana | Psychologist | 3791 State Route 63, Lebanon, OH 45036-9371 | 2014-09-08 |
| 1396159190 | Saidah Foree | Social Worker | 3791 State Route 63, Lebanon, OH 45036-9371 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| 1770502288 | Roy P Walton | Clinical Nurse Specialist | 1301 Bellefontaine Ave, Lima, OH 45804-3121 | 2006-07-18 |
| 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.