LISA ERIN CLEMENTE (NPI# 1255694212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255694212 |
| Entity Type | Individual |
| Full Name | LISA ERIN CLEMENTE |
| Credential | PA-C |
| Practice Address |
601 W 2nd St Bloomington IN 47403-2317 |
| Mailing Address |
Po Box 1149 Bloomington IN 47402-1149 |
| Practice Telephone | 8123539515 |
| Practice Fax Number | 8123539275 |
| Mailing Telephone | 8123533087 |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639685589 | Lisa Clemente | Nurse Practitioner | 54 Hopedale St Ste 9, Hopedale, MA 01747-1732 | 2017-12-14 |
| 1922139088 | Lisa M Clemente | Marriage & Family Therapist | 6305 Woodman Ave, Van Nuys, CA 91401-2346 | 2007-03-08 |
| Street Address |
601 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707111 | Brenda Susan Mallory | Physical Medicine & Rehabilitation | 601 W 2nd St, Bloomington, IN 47403-2317 | 2005-06-01 |
| 1841899747 | Megan Morrison | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1598364499 | Stacey Wiseman | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1952900904 | Janet Lynn Deckard | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1255939484 | Cerina Marie Cunningham | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-10 |
| 1043821846 | Riddhi Gandhi | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-08-14 |
| 1417571068 | Colin Laffoon | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-29 |
| 1891318598 | Kendra Rae Foster | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-28 |
| 1548881360 | Lindsay Sanders | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-04 |
| 1639798119 | Mona Visnius | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801041348 | David Cushman | Physician Assistant | 8357 Blaisdell Ave S, Bloomington, MN 55420-2220 | 2008-11-25 |
| 1174174536 | Ivanna Tiffany Yu | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-09-26 |
| 1518430537 | Lauren Cantor | Physician Assistant | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2019-01-03 |
| 1033605845 | Cheyenne Olivia Powers | Physician Assistant | 813 W 2nd St, Bloomington, IN 47403-2212 | 2018-07-03 |
| 1457873275 | Cameron Hernandez | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2017-07-13 |
| 1497206551 | Jennifer Victoria Menendez | Physician Assistant | 3024 E Empire St, Bloomington, IL 61704-5402 | 2016-10-24 |
| 1093170557 | Perinjit K Bachra | Physician Assistant | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2015-12-28 |
| 1992973846 | Wendy Veeder | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2008-02-13 |
| 1063599660 | Steven Eugene Jacobs | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-11-01 |
| 1851499339 | Roger Leon Lehman | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2006-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.