LISA DAWN RODERICK (NPI# 1477150555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477150555 |
| Entity Type | Individual |
| Full Name | LISA DAWN RODERICK |
| Practice Address |
414 W John St Martinsburg WV 25401-3226 |
| Practice Telephone | 3046200341 |
| Mailing Telephone | 3046200341 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
414 W JOHN ST |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104800 | Albert Browne | Technician | 710 Jenny Wren Dr, Martinsburg, WV 25404-3157 | 2020-11-06 |
| 1194325910 | Tiarra Marie Govan | Technician | 808 W John St, Martinsburg, WV 25401-2206 | 2020-10-30 |
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1275133001 | Kristina Brown | Technician | 2998 Winchester Ave Apt 9, Martinsburg, WV 25405-7373 | 2020-10-30 |
| 1790385854 | Krystal Murdock | Technician | 171 Shrewsburg Dr, Martinsburg, WV 25404 | 2020-10-28 |
| 1275133662 | Huey Hite | Technician | 151 Artillery Way, Martinsburg, WV 25403-1561 | 2020-10-27 |
| 1972102697 | Lottie Geneva Smith | Technician | 44 Tersky Ct Apt 16, Martinsburg, WV 25405-3607 | 2020-10-23 |
| 1861091589 | Mercedes Jones | Technician | 145 Garden Dr Apt 301, Martinsburg, WV 25404-4496 | 2020-10-23 |
| 1740889765 | Juli Ann Allen | Technician | 522 Wv Ave, Martinsburg, WV 25401-2656 | 2020-10-21 |
| 1518574193 | Tanya Mitchell | Technician | 15 Shaftment Way, Martinsburg, WV 25403-1502 | 2020-09-28 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on LISA DAWN RODERICK.
| 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.