MRS. ELISA SUNSHINE HATMAKER-LUTZ (NPI# 1235450230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235450230 |
| Entity Type | Individual |
| Full Name | MRS. ELISA SUNSHINE HATMAKER-LUTZ |
| Credential | M.A. |
| Practice Address |
900 6th Ave Saint Albans WV 25177-2921 |
| Mailing Address |
Po Box 8888 South Charleston WV 25303-0888 |
| Practice Telephone | 3043951850 |
| Mailing Telephone | 3043951850 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2012-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
996 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810022109 | 05 |
| Street Address |
900 6TH AVE |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207105 | Mareda Lynn Reynolds | Psychologist | 200 Kanawha Ter, Suite 103, Saint Albans, WV 25177-2867 | 2005-07-02 |
| 1275166456 | Heidi Livingston | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2020-02-17 |
| 1497223028 | Daniel M Daneau | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2018-11-13 |
| 1841654019 | Stephen Cousino | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2016-04-13 |
| 1467834705 | Samantha Thomas | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2015-06-23 |
| 1750763090 | Brianne Heyer | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2015-06-23 |
| 1639550502 | Heather Wilson | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2015-06-16 |
| 1205227121 | Melinda Kay Henline | Psychologist | 200 Kanawha Ter, Suite 103, Saint Albans, WV 25177-2867 | 2015-02-13 |
| 1326459322 | Morgan Williams | Psychologist | 319 S Main St, Saint Albans, VT 05478-6214 | 2014-05-13 |
| 1558782755 | Robin K Galbraith | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2013-12-16 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
Please comment or provide details below to improve the information on MRS. ELISA SUNSHINE HATMAKER-LUTZ.
| 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.