LISA ROOT (NPI# 1376986802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376986802 |
| Entity Type | Individual |
| Full Name | LISA ROOT |
| Credential | PSYD |
| Practice Address |
442 Hagelbarger Ave Fairbanks AK 99712-1917 |
| Practice Telephone | 9073504353 |
| Mailing Telephone | 9073504353 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
012375 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261165 | Lisa Birnbaum Root | Audiologist | 334 Union St, Hackensack, NJ 07601-4303 | 2005-11-03 |
| 1285092957 | Lisa Root | Registered Nurse | 1099 10th Ave Se, Minneapolis, MN 55414-1312 | 2016-02-09 |
| 1679812416 | Lisa M Root | Dietitian, Registered | 12 S 8th St, Yakima, WA 98901-3020 | 2013-02-13 |
| 1841282134 | Lisa Kay Root | Nurse Anesthetist, Certified Registered | 601 Med Tech Pkwy, Johnson City, TN 37604-2253 | 2005-08-22 |
| Street Address |
442 HAGELBARGER AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| Find all providers in zip 99712 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674706 | Emily Low | Counselor | 1569 La Rue Ln, Fairbanks, AK 99709-6671 | 2020-03-18 |
| 1215578703 | Jesse Brooks | Counselor | 1203 26th Ave, Fairbanks, AK 99701-6832 | 2019-10-05 |
| 1548818008 | Tamela Eleasia Edwards | Counselor | 946 Cowles St Ste 106, Fairbanks, AK 99701-4381 | 2019-08-28 |
| 1538713946 | John Moses | Counselor | 4027 Birch Ln, Fairbanks, AK 99709-3517 | 2019-07-25 |
| 1124687140 | Galdys Duncan | Counselor | 122 1st Ave Ste 6001221, Fairbanks, AK 99701-4871 | 2019-06-12 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1851854798 | Siena Counseling, LLC | Counselor | 565 University Ave Ste 4, Fairbanks, AK 99709-3688 | 2019-04-08 |
| 1588134381 | Birch Tree Counseling LLC | Counselor | 600 University Ave Ste 6, Fairbanks, AK 99709-3651 | 2018-12-05 |
| 1669967451 | Jennifer Hood Lpc, LLC | Counselor | 626 2nd St Ste 103, Fairbanks, AK 99701-3466 | 2018-06-25 |
| 1922590918 | Kathryn Chatterton Mallory | Counselor | 318 Slater St, Fairbanks, AK 99701-2923 | 2018-06-05 |
| Find all providers in FAIRBANKS | ||||
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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.