LISA KATHERINE TABOR (NPI# 1285631044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285631044 |
| Entity Type | Individual |
| Full Name | LISA KATHERINE TABOR |
| Credential | APRN, ACNP-BC |
| Practice Address |
6545 S Fort Apache Rd Ste 135-228 Las Vegas NV 89148-6752 |
| Mailing Address |
9900 Bren Road East Mail Route Mn 008-8213 Minnetonka MN 55343 |
| Practice Telephone | 3378042049 |
| Practice Fax Number | 8778663181 |
| Mailing Telephone | 3378042049 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN002065 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1477427 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2851 Johnston St, Suite 535, Lafayette, LA 705033243 | 3378042049 | 8778663181 |
| Street Address |
6545 S FORT APACHE RD STE 135-228 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-6752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002907 | Faith Iseh | Nurse Practitioner | 10470 W Cheyenne Ave Ste 115 Pmb 311, Las Vegas, NV 89129-8733 | 2020-10-29 |
| 1861009664 | Gregory Lawrence Walker II | Nurse Practitioner | 7600 S Rainbow Blvd Apt 2044, Las Vegas, NV 89139-5493 | 2020-09-25 |
| 1427682061 | Sarah C Day | Nurse Practitioner | 11024 Salernes St, Las Vegas, NV 89141-3811 | 2020-02-22 |
| 1265082895 | Sofia Gates | Nurse Practitioner | 7346 Emerald Glow St, Las Vegas, NV 89123-1303 | 2019-09-16 |
| 1619448289 | Wayne Seare | Nurse Practitioner | 275 Calvino Ave, Las Vegas, NV 89183-5602 | 2018-12-07 |
| 1669968681 | Jasmine Jac LLC | Nurse Practitioner | 169 Short Ruff Way, Las Vegas, NV 89148-5259 | 2018-07-02 |
| 1598203978 | Kazakk LLC | Nurse Practitioner | 7866 W Sahara Ave, Las Vegas, NV 89117-1944 | 2017-02-06 |
| 1821545559 | Saradamani Chinnaswamy | Nurse Practitioner | 6960 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128-3204 | 2016-09-11 |
| 1285098053 | Aileen Thompson | Nurse Practitioner | 7712 Crenshaw Way, Las Vegas, NV 89129-5496 | 2016-04-07 |
| 1164888327 | Helen Jane Maxine Ballert | Nurse Practitioner | 1955 Festival Plaza Dr Ste 180, Las Vegas, NV 89135-2900 | 2016-01-04 |
| Find all providers in LAS VEGAS | ||||
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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.