ALISA GAIL CANILLAS (NPI# 1285649079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285649079 |
Entity Type | Individual |
Full Name | ALISA GAIL CANILLAS |
Practice Address |
1 Medical Center Dr Lebanon NH 03756-1000 |
Practice Telephone | 6036502651 |
Mailing Telephone | 6036502651 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2011-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
596 | NH | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1012026 | 05 |
Street Address |
1 MEDICAL CENTER DR |
City | LEBANON |
State | NH |
Zip Code | 03756-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473917 | Lynda Lee Lapan | Obstetrics & Gynecology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-10-08 |
1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
1275149858 | Makenzie Welch | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-09-19 |
1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
1275145104 | Nicole Faye Hoshiko | Dietitian, Registered | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
1609486703 | Melanie Lynn Del Frari | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-04 |
1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
1932717170 | Sydney Allen | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-14 |
1033737143 | Matthew David Thomson | Registered Nurse | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
Find all providers in zip 03756 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639320047 | Lisa Jane Billings | Technician/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2008-10-03 |
1205029782 | Katrina M Lewis | Technician/Technologist | 1 Medical Center Dr, Dhmc Optical Shop, Lebanon, NH 03756-1000 | 2007-08-20 |
1013130483 | St Johns Clinic Inc | Technician/Technologist | 331 Hospital Dr, Suite E, Lebanon, MO 65536-9217 | 2007-04-11 |
1922150952 | Karen Griffiths Smith | Technician/Technologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-01-18 |
1912080557 | Wal-mart Stores East, Lp | Technician/Technologist | 1800 S Jefferson Ave, Lebanon, MO 65536-4208 | 2006-10-24 |
1932281862 | Wal-mart Stores East, Lp | Technician/Technologist | 615 S Cumberland St, Lebanon, TN 37087-5107 | 2006-10-19 |
1912087651 | Wal-mart Stores East, Lp | Technician/Technologist | 775 Regional Park Rd, Lebanon, VA 24266-3706 | 2006-10-17 |
1427143718 | Walmart Inc. | Technician/Technologist | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2006-10-04 |
1346250305 | Wal-mart Stores East, Lp | Technician/Technologist | 1530 Walmart Dr, Lebanon, OH 45036-7342 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467915322 | Thomas J. Carozza | Technician/Technologist | 380 Daniel Webster Hwy Ste 9, Merrimack, NH 03054-4169 | 2019-04-08 |
1720479199 | Dorothy J. Clapp | Technician/Technologist | 149 Emerald St Ste J, Keene, NH 03431-3684 | 2015-02-06 |
1053638114 | Hampton Vision Center LLC | Technician/Technologist | 28 Depot Sq Ste E, Hampton, NH 03842-4911 | 2010-04-29 |
1699946350 | Fred Mcdonald | Technician/Technologist | 96 Dw Hwy, Belmont, NH 03220-3045 | 2008-03-20 |
1730350141 | Kevin Eugene Thompson | Technician/Technologist | 270 Lafayette Rd Unit 13, Seabrook, NH 03874-4543 | 2008-03-13 |
1922205418 | Patricia Seay | Technician/Technologist | 237 Calef Hwy, Epping, NH 03042-2326 | 2007-06-28 |
1568583011 | Cohen Fashion Optical | Technician/Technologist | 310 Daniel Webster Highway, #232, Nashua, NH 03060 | 2007-04-03 |
1902930258 | Martin David Kass | Technician/Technologist | 607 Tenney Mountain Hwy, Plymouth, NH 03264-3156 | 2007-03-16 |
1932231271 | American Eyecare Express Inc. | Technician/Technologist | 96 Daniel Webster Hwy, Unit #55, Belmont, NH 03220-3045 | 2007-03-12 |
1053447557 | Taylor and Murphy Optical Inc | Technician/Technologist | 545 Hooksett Road Unit 23, Manchester, NH 03104 | 2007-02-26 |
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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.