LISA MAE JUSTUS (NPI# 1225598972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225598972 |
Entity Type | Individual |
Full Name | LISA MAE JUSTUS |
Credential | REGISTERED NURSE |
Practice Address |
41641 N Ridge Rd Elyria OH 44035-1264 |
Mailing Address |
36237 Westfield Dr North Ridgeville OH 44039-3839 |
Practice Telephone | 4403247406 |
Mailing Telephone | 4408654804 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN.447510 | OH | Nursing Service Providers |
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN.447510 | OH | Nursing Service Providers |
Street Address |
41641 N RIDGE RD |
City | ELYRIA |
State | OH |
Zip Code | 44035-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003187477 | Laura Marie Walts | Counselor | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1245 | 2012-01-18 |
1427691518 | Saida Markovic | Social Worker | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-10-22 |
1922655935 | Carmita Mayfield | Licensed Practical Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-08-23 |
1396303566 | Ana Justine Pool | Registered Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-06-03 |
1629573001 | Leslie Elizabeth Shephard | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-03-27 |
1649788290 | Myesha Crowe | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-01-17 |
1386151645 | Fortaleza,llc | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-01-08 |
1740716356 | Kathleen Hans | Licensed Practical Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2017-05-03 |
1356877898 | Linda Sexton | Counselor | 41641 N Ridge Rd, Suite B., Elyria, OH 44035-1264 | 2017-05-03 |
1114475258 | Jane Bragg-barnes | Clinic/Center | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2016-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
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Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
1053954396 | Deborah Jean Wolford | Registered Nurse | 174 Midway Blvd, Elyria, OH 44035-2786 | 2019-10-18 |
1871090829 | Kristen Lynn Gilbert | Registered Nurse | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2018-04-06 |
1093221897 | Aracelis Sedonia Bell | Registered Nurse | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
1184072340 | Lynda Shurilla | Registered Nurse | 59 Euclid Ave, Struthers, OH 44471-1812 | 2016-05-28 |
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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.