DR. LISA MARIE KELLEHER (NPI# 1437336146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437336146 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE KELLEHER |
| Credential | PMHNP |
| Practice Address |
200 Medical Dr Hampton VA 23666-1763 |
| Mailing Address |
1305 S Cannon Blvd Kannapolis NC 28083-6232 |
| Practice Telephone | 7577880292 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024175556 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932470481 | Lisa A Kelleher | Nurse Practitioner | 550 S Beretania St, Honolulu, HI 96813-2414 | 2012-01-14 |
| 1922302983 | Lisa J Kelleher | Marriage & Family Therapist | 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 | 2011-01-05 |
| Street Address |
200 MEDICAL DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235100900 | Ian Jonathan Chapel | Psychiatry & Neurology | 200 Medical Dr, Suite B, Hampton, VA 23666-1763 | 2006-01-30 |
| 1669011474 | Linda D Davis | Social Worker | 200 Medical Dr, Hampton, VA 23666-1763 | 2019-12-26 |
| 1881166460 | Philip Burke | Counselor | 200 Medical Dr, Hampton, VA 23666-1763 | 2018-12-20 |
| 1437639556 | Ashlee Kay Villa | Counselor | 200 Medical Dr, Hampton, VA 23666-1763 | 2018-08-17 |
| 1497286124 | Genoa Pharmacy | Pharmacy | 200 Medical Dr, Suite 289, Hampton, VA 23666-1763 | 2017-03-24 |
| 1740711852 | Koorosh Jeiran | Pharmacist | 200 Medical Dr, Suite 289, Hampton, VA 23666-1763 | 2017-03-21 |
| 1184090300 | Elisabeth Bauswell | Counselor | 200 Medical Dr, Hampton, VA 23666-1763 | 2015-08-12 |
| 1568730042 | Natalie Le'dora Franklin Harris | Counselor | 200 Medical Dr, Hampton, VA 23666-1763 | 2011-12-12 |
| 1477742021 | Kristen Mcgraw Condron | Social Worker | 200 Medical Dr, Suite A, Hampton, VA 23666-1763 | 2007-10-19 |
| 1376667543 | Samia Sabeen | Psychiatry & Neurology | 200 Medical Dr, Suite A, Hampton, VA 23666-1763 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861829764 | Ethos Leadership Project, LLC | Nurse Practitioner | 1322 Lasalle Ave, Suite A, Hampton, VA 23669-3810 | 2013-10-09 |
| 1134736929 | Tasha Washington | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-09-26 |
| 1518576297 | Omari Peterkin | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-07-28 |
| 1346873171 | Glory Mbong-ngwa | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-20 |
| 1134751530 | Candace Bynum Lankford | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-04 |
| 1861031858 | Felicia Elaine Goodrich | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2019-12-23 |
| 1023662954 | Virgil Charles | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2019-07-29 |
| 1114449253 | Linda Pham | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666 | 2017-07-11 |
| 1982097184 | Transitions Empowerment Associates | Nurse Practitioner | 1322 Lasalle Ave, Suite A, Hampton, VA 23669-3810 | 2015-03-12 |
| 1235538208 | Laurie Sue Stephens | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2014-08-15 |
| Find all providers in HAMPTON | ||||
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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.