LISA LYNN RETTIG


Address: 1000 E Broad St, Richmond, VA 23219-1930
Phone: 8048282467

LISA LYNN RETTIG (NPI# 1386121416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386121416
Entity Type Individual
Full Name LISA LYNN RETTIG
Other Name LISA LYNN LEVY
Credential FNP
Practice Address 1000 E Broad St
Richmond
VA 23219-1930
Mailing Address Po Box 91734
Richmond
VA 23291-1734
Practice Telephone 8048282467
Practice Fax Number 8048274180
Mailing Telephone 8043586100
Mailing Fax Number 8043427619
Enumeration Date 2018-07-21
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024176382 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Richmond, VA 232985051 8048282467 8048274180

Office Location

Street Address 1000 E BROAD ST
City RICHMOND
State VA
Zip Code 23219-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891305884 Alyssa Regula Dietitian, Registered 1000 E Broad St, Richmond, VA 23219-1930 2020-08-04
1932722667 Jaimie Mary Parambil Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-28
1396368130 Samuel Jonathan Pouncey Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-27
1396368155 Christopher Ferrante Student in an Organized Health Care Education/Training Program 1000 E Broad St, Richmond, VA 23219-1930 2020-05-27
1780221226 Erica Michelle Mitchell Nurse Practitioner 1000 E Broad St, Richmond, VA 23219-1930 2019-12-03
1295376135 Christina N. Murphy Psychologist 1000 E Broad St, Richmond, VA 23219-1930 2019-10-02
1003377805 Jessica Hallam Registered Nurse 1000 E Broad St, Richmond, VA 23219-1930 2019-03-26
1417426248 Kyong Jin Lee Internal Medicine 1000 E Broad St, Richmond, VA 23219-1930 2018-11-22
1760973382 Brook Vanbuesking Social Worker 1000 E Broad St, Richmond, VA 23219-1930 2018-05-21
1033609631 Shelby Fogleman Social Worker 1000 E Broad St, Richmond, VA 23219-1930 2018-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306337910 Patricia Young Flynn Psychologist Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 2018-05-21
1558859173 Marie Rhodes-dawson Psychologist 301 North Ninth Street, Richmond, VA 23219 2018-04-30
1639674369 Kelly Schmid Mccrowell Psychologist 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 2018-03-26
1104321033 Veronica Leigh Wiles Occupational Therapist 301 North 9th Street, Exceptional Education, Richmond, VA 23219 2018-03-23
1780103234 Brandy Lakesha Rushing Counselor 107 S. 5th Street, Richmond, VA 23219 2017-09-15
1134676679 Richa Chibbar Student in an Organized Health Care Education/Training Program 230 N 6th St, Unit 204, Richmond, VA 23219 2016-09-01
1578974788 Kinlee Stewart Counselor 409 E. Main St, #204, Richmond, VA 23219 2014-05-12
1760814941 Ivey Contacting Service,inc Day Training, Developmentally Disabled Services 501 East Frnklin St Stu 724, Richmond, VA 23219 2013-07-30
1154665883 Ashley Hoover Rhoades Nurse Practitioner 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 2012-11-19
1932461852 New Legacy Youth Services, LLC Community/Behavioral Health 904 North 1st Street, Richmond, VA 23219 2012-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952908519 Demia Houston Louis Nurse Practitioner 19722 Norfolk Ridge Way, Richmond, TX 77407-7124 2020-10-07
1134726284 Tara Hart Nurse Practitioner 521 Lancaster Ave # 223, Richmond, KY 40475-3102 2020-10-01
1689280372 Chinyere Onyemaechi Adiuku Nurse Practitioner Chinyere Adiuku, 17831 Planters Path Lane, Richmond, TX 77407-7740 2020-09-18
1598379596 Rebecca Pfeifer-rosenblum Nurse Practitioner 5939 Sutter Ave, Richmond, CA 94804-5260 2020-09-07
1578176970 Grace Pulliam Gilmore Nurse Practitioner 29 Malvern Ave Apt 5, Richmond, VA 23221-2666 2020-08-25
1891306429 Caroline Njuguna Nurse Practitioner 7210 Still Haven Dr, Richmond, TX 77407-7131 2020-08-17
1720699143 Rukayat Omolara Yusuf Nurse Practitioner 8506 Heather Maple Ct, Richmond, TX 77407-2476 2020-08-10
1457969859 Richmond Medical Group Inc Nurse Practitioner 1407 Mustang Lake Ct, Richmond, TX 77406-7961 2020-07-21
1093332744 Patience I Nehikhuere Nurse Practitioner 7519 Misty Meadow Ct, Richmond, TX 77469-7322 2020-06-29
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Competitor

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City RICHMOND
Zip Code 23219

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Dataset Information

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.

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