LISA EDENS-TAN (NPI# 1316434442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316434442 |
| Entity Type | Individual |
| Full Name | LISA EDENS-TAN |
| Credential | ND |
| Practice Address |
647 N Main St Fort Bragg CA 95437-3219 |
| Mailing Address |
623 S Sanderson Way Fort Bragg CA 95437-4537 |
| Practice Telephone | 9252095966 |
| Mailing Telephone | 9252095966 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | ND988 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPARTMENT OF CONSUMER AFFAIRS | ND988 | 01 |
| Street Address |
647 N MAIN ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912337 | Kieu Mindy Nguyen | Naturopath | 491 41st St Unit 8, Oakland, CA 94609-2695 | 2020-11-04 |
| 1780285809 | Kimberley Love | Naturopath | 1757 Countryside Dr, Vista, CA 92081-8727 | 2020-11-04 |
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1376140665 | Jasmine Haddad | Naturopath | 502 First St Ste A, Paso Robles, CA 93446-3764 | 2020-10-08 |
| 1295332948 | Elaine Louise Marquez Mchugh | Naturopath | 4874 Meadowbrook Dr, Oceanside, CA 92056-6637 | 2020-10-06 |
| 1629675459 | Christopher Chang | Naturopath | 623 W Duarte Rd Ste A, Arcadia, CA 91007-7337 | 2020-10-05 |
| 1427655463 | Paria Vaziri | Naturopath | 1559 1/2 Reed Ave, San Diego, CA 92109-5361 | 2020-10-02 |
| 1598362527 | Wafaa George Matti | Naturopath | 2696 Pine Glen Ct, El Cajon, CA 92019-3913 | 2020-10-02 |
| 1356948376 | Barbara Ivos | Naturopath | 6202 Friars Rd Unit 304, San Diego, CA 92108-1008 | 2020-10-02 |
| 1649877846 | Brian James Trainor | Naturopath | 3636 5th Ave Ste 300, San Diego, CA 92103-4230 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on LISA EDENS-TAN.
| 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.