LISA CAROL TABAKIAN (NPI# 1356708069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356708069 |
| Entity Type | Individual |
| Full Name | LISA CAROL TABAKIAN |
| Credential | APRN |
| Practice Address |
1400 Hospital Dr Mt Pleasant SC 29464-3255 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438841341 |
| Practice Fax Number | 8438841345 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19940 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4032 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 180 Wingo Way Ste 110, Mt Pleasant, SC 29464 | 8434025283 | 8432840826 |
| Street Address |
1400 HOSPITAL DR |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467093617 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 Hospital Dr, Mt Pleasant, SC 29464 | 2019-09-30 |
| 1316421431 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2018-09-25 |
| 1760919070 | Roper Saint Francis Physicians Network | Surgery | 1400 Hospital Dr, Mt Pleasant, SC 29464 | 2017-05-17 |
| 1710381249 | Jaclyn Bryan Wozniuk | Nurse Practitioner | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2014-10-13 |
| 1477847051 | Richard Travis Wilkes | Family Medicine | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2011-06-01 |
| 1437162187 | Delinda H. Terry | Specialist | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2006-08-14 |
| 1629086004 | Theodore M Pappas | Family Medicine | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2006-08-03 |
| 1548215577 | Mount Pleasant Ob/gyn, Pa | Specialist | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721396 | Margaret G Darr | Nurse Practitioner | 752 Gate Post Dr, Mt Pleasant, SC 29464-4948 | 2020-05-08 |
| 1285193847 | Restorative Joint & Wellness Center | Nurse Practitioner | 1318 S Jefferson Ave Ste B, Mt Pleasant, TX 75455-5355 | 2019-03-13 |
| 1508236464 | Jennifer Cianci | Nurse Practitioner | 710 Johnnie Dodds Blvd Ste 101, Mt Pleasant, SC 29464-3045 | 2015-10-04 |
| 1770829467 | Renee Lyn Kern | Nurse Practitioner | 4599 Jennifer Ln, Mt Pleasant, MI 48858-2064 | 2012-12-27 |
| 1699949057 | Sara J. Staker | Nurse Practitioner | 245 W 100 N # 42, Mt Pleasant, UT 84647-1343 | 2008-04-16 |
| 1316074925 | Virginia Murray Owens | Nurse Practitioner | 886 Johnnie Dodds Blvd Unit 100, Mt Pleasant, SC 29464-3190 | 2007-02-28 |
| 1689701765 | Brenda Baldwin Toohey | Nurse Practitioner | 3510 N Highway 17 Ste 325, Mt Pleasant, SC 29466-8232 | 2007-02-27 |
| 1295761393 | Carolyn Andrea Newton | Nurse Practitioner | 3510 N Highway 17 Ste 110, Mt Pleasant, SC 29466-8228 | 2006-06-23 |
| 1245299783 | Jo Ann Kimble-hahn | Nurse Practitioner | 3000 Hahn Scott Rd, Mt Pleasant, NC 28124-9361 | 2006-03-22 |
| 1922611151 | Amanda Nutter | Nurse Practitioner | 599 N Church St, Mt Pleasant, PA 15666-1004 | 2020-08-27 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on LISA CAROL TABAKIAN.
| 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.