LISA MARIE VACCARO (NPI# 1194284935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194284935 |
| Entity Type | Individual |
| Full Name | LISA MARIE VACCARO |
| Practice Address |
2001 Kingsley Ave Orange Park FL 32073-5148 |
| Practice Telephone | 9046392000 |
| Practice Fax Number | 9046392015 |
| Mailing Telephone | 9046392000 |
| Mailing Fax Number | 9046392015 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225593478 | Lisa Evangeline Vaccaro | Nurse Practitioner | 210 Westchester Ave, White Plains, NY 10604-2901 | 2019-02-01 |
| Street Address |
2001 KINGSLEY AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-5148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959172 | John Dunlap | Nurse Anesthetist, Certified Registered | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2005-08-12 |
| 1528681657 | Michael Steadman Gerber | Registered Nurse | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-05-22 |
| 1831710961 | Marcus Ramzi Ibrahim | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1497374839 | Ahmed Ebrahim | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-04-15 |
| 1386263267 | Martin Alla | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5156 | 2020-04-10 |
| 1275152399 | Elizabeth Joyce Bogaty | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-04-09 |
| 1104445113 | Amanda Brenner | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-04-09 |
| 1457980641 | Bordin Intachai | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-04-08 |
| 1942839444 | Michelle Lola | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5156 | 2020-04-06 |
| 1245869890 | Ashraf Abdulhalim | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1730717075 | Joshua Adam Cooper | Student in an Organized Health Care Education/Training Program | 557 Fallen Timbers Dr, Orange Park, FL 32073-2298 | 2020-03-31 |
| 1679117618 | The Least of These Adoption Services of Florida, LLC | Student in an Organized Health Care Education/Training Program | 495 Glendale Ln, Orange Park, FL 32065-5607 | 2019-11-02 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on LISA MARIE VACCARO.
| 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.