MRS. LISA GENUALDI (NPI# 1295031342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295031342 |
| Entity Type | Individual |
| Full Name | MRS. LISA GENUALDI |
| Credential | CPNP |
| Practice Address |
2300 N Childrens Plz Chicago IL 60614-3363 |
| Practice Telephone | 7738804000 |
| Mailing Telephone | 7738804000 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209008616 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209008616 | APN LICENSE NUMBER | 01 |
| Street Address |
2300 N CHILDRENS PLZ |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880077 | Mari G Leahy | Pharmacist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2005-06-02 |
| 1265707616 | Melanie Rae Berube | Social Worker | 2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363 | 2012-03-19 |
| 1326310673 | Dana Marie Koehn | Specialist/Technologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2012-02-02 |
| 1255603908 | Peter Andrew Wagreich | Speech-Language Pathologist | 2300 N Childrens Plz, Box 142, Chicago, IL 60614-3363 | 2012-01-27 |
| 1467722090 | Laura Catherine Doyle | Nurse Practitioner | 2300 N Childrens Plz, #37, Chicago, IL 60614-3363 | 2012-01-12 |
| 1174890362 | Julie Farrell | Nurse Practitioner | 2300 N Childrens Plz, Emergency Department, Chicago, IL 60614-3363 | 2011-11-16 |
| 1508147935 | Heather A. Bryant | Pharmacist | 2300 N Childrens Plz, Suite J119, Walgreens, Chicago, IL 60614-3363 | 2011-08-30 |
| 1811278278 | Roopal Marlow | Pharmacist | 2300 N Childrens Plz, Suite J119, Chicago, IL 60614-3363 | 2011-08-30 |
| 1548548357 | Jenelle Helene Ezcurra | Audiologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-07-27 |
| 1700175809 | Rebecca Jeanne Vana | Student in an Organized Health Care Education/Training Program | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
| 1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
| 1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
| 1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
| Find all providers in CHICAGO | ||||
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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.