LISA SHEPARD (NPI# 1427134212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427134212 |
| Entity Type | Individual |
| Full Name | LISA SHEPARD |
| Credential | CRNFA |
| Practice Address |
609 S Clearview Ave Mesa AZ 85208-1922 |
| Practice Telephone | 4802016754 |
| Practice Fax Number | 4803965130 |
| Mailing Telephone | 4802016754 |
| Mailing Fax Number | 4803965130 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN046743 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHNET | 124186 | 01 | |
| AETNA | 2224040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797759 | Lisa Marie Shepard | Specialist | 21245 110th Ave Se, Kent, WA 98031-2145 | 2012-03-14 |
| 1932493251 | Lisa S Shepard | Counselor | 11111 Hall Road #303, Utica, MI 48317-5726 | 2011-06-03 |
| 1063420545 | Lisa J Shepard | Physical Therapist | 1294 West 6th Street, Suite 101, San Pedro, CA 90732-2997 | 2006-08-03 |
| 1013393354 | Lisa Shepard | Counselor | 1965 Live Oak Blvd, Suite A, Yuba City, CA 95991-8850 | 2015-08-10 |
| 1871864686 | Lisa Shepard | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-01-25 |
| 1790910842 | Lisa M Shepard | Counselor | 1553 Stewartstown Rd, Morgantown, WV 26505-2947 | 2009-05-19 |
| Street Address |
609 S CLEARVIEW AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1699067546 | Fredrick G. Johnson | Registered Nurse | 4320 E Presidio St, #101, Mesa, AZ 85215 | 2011-05-11 |
| 1578623153 | Alice Lynn Mitchell | Registered Nurse | 6720 E Canto, Ste 38, Mesa, AZ 85205 | 2006-12-12 |
| 1124081500 | Tina L Bauler | Registered Nurse | 8724 E Rose St, Mesa, AZ 85208-1528 | 2006-04-07 |
| 1326660457 | Steven Edward Felder | Registered Nurse | 7165 E University Dr, Mesa, AZ 85207-6400 | 2020-05-12 |
| 1770735987 | Jessica Lynette Bonner | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2008-10-21 |
| 1609972462 | Sherri Ann Meador | Registered Nurse | 4320 E. Presidio Street #101, Mesa, AZ 85215-1165 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929776 | Elisa Ann Venezia | Registered Nurse | 1550 N Edgewood St, Flagstaff, AZ 86004-8709 | 2020-10-15 |
| 1861016735 | Jessica A Hanson | Registered Nurse | 4209 W Indigo Way, Flagstaff, AZ 86001-8228 | 2020-06-05 |
| 1770006942 | Robert C. Cannon | Registered Nurse | 60875 E Eagle Mountain Dr, Tucson, AZ 85739-5939 | 2017-07-19 |
| 1780138743 | Susan Worman | Registered Nurse | 7622 W Sugar Ranch Rd, Tucson, AZ 85743-1455 | 2016-08-08 |
| 1265881288 | Lonna Jean Brazeel | Registered Nurse | 2400 S Arizona Ave, Yuma, AZ 85364-8610 | 2016-06-09 |
| 1467837393 | Shawn Claire O'hara | Registered Nurse | 34905 N 27th Ln, Phoenix, AZ 85086-6666 | 2015-07-21 |
| 1851704571 | Michael Seni | Registered Nurse | 123 W Chandler Heights Rd, Chandler, AZ 85248-1001 | 2014-06-10 |
| 1972924694 | Nigel Thomson | Registered Nurse | 70 S Val Vista Dr, Suite A3-163, Gilbert, AZ 85296-1374 | 2013-12-23 |
| 1003161134 | Tamatha A Rummel | Registered Nurse | 11713 E Bloomfield Dr, Scottsdale, AZ 85259-2750 | 2012-07-15 |
| 1902191133 | Gilbert Cerezo Pascual Jr. | Registered Nurse | 3236 W Yellow Peak Dr, Queen Creek, AZ 85142-3038 | 2011-06-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA SHEPARD.
| 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.