LISA DANIELS (NPI# 1477913762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477913762 |
| Entity Type | Individual |
| Full Name | LISA DANIELS |
| Practice Address |
4568 S Highland Dr Ste 260b Salt Lake City UT 84117-4236 |
| Practice Telephone | 4355389899 |
| Practice Fax Number | 8013554355 |
| Mailing Telephone | 4355389899 |
| Mailing Fax Number | 8013554355 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
95189262504 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2760 Rasmussen Rd, D210, Park City, UT 840985684 | 4356459240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720802 | Lisa Daniels | Registered Nurse | 19407 Madison Plz Apt 25, Omaha, NE 68135-3187 | 2020-05-02 |
| 1548545312 | Lisa Ann Daniels | Licensed Practical Nurse | 2991 S Klug Rd, Harbor Beach, MI 48441-9460 | 2011-10-12 |
| 1184197378 | Lisa Louise Daniels | Counselor | 74 Portland Street, Morrisville, VT 05661 | 2019-01-10 |
| 1912477423 | Lisa Ann Daniels | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-11-27 |
| 1538674486 | Lisa Anne Daniels | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2017-12-13 |
| 1497125363 | Lisa Daniels | Social Worker | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2015-10-04 |
| 1124414727 | Lisa Daniels | Social Worker | 7740 N Oracle Rd, Tucson, AZ 85704-6313 | 2015-04-09 |
| 1578994240 | Lisa Daniels | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2013-12-06 |
| 1982033387 | Lisa Daniels | Registered Nurse | 694 Good Dr, Suite 11, Lancaster, PA 17601-2433 | 2013-11-06 |
| 1811250178 | Lisa M Daniels | Internal Medicine | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2012-06-21 |
| Street Address |
4568 S HIGHLAND DR STE 260B |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386945566 | Annie Michol Deming | Psychologist | 5770 S 1500 W # G, Salt Lake City, UT 84123-5216 | 2010-11-04 |
| 1588829634 | Carla J Reyes | Psychologist | 4568 S Highland Dr Ste 100, Salt Lake City, UT 84117-4234 | 2008-07-28 |
| 1265592083 | Fenster Corp. | Psychologist | 4505 Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 | 2006-12-11 |
| 1174625016 | Donald Emory Beck | Psychologist | 44 Medical Dr, Salt Lake City, UT 84132-0001 | 2006-09-01 |
| 1376570820 | Douglas Frank Goldsmith | Psychologist | 5383 S 900 E Ste 290, Salt Lake City, UT 84117-7268 | 2006-06-27 |
| 1457808370 | Jennifer Wehan | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2905 | 2016-09-08 |
| 1386016061 | Renee Kathleen Burke | Psychologist | 1945 S 1100 E, Suite 206, Salt Lake City, UT 84106-2369 | 2015-10-21 |
| 1346637881 | Natalie Buerger | Psychologist | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2015-04-22 |
| 1568864114 | Amanda Aulbaugh | Psychologist | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2014-09-25 |
| 1144662941 | One Haven | Psychologist | 160 S 1000 E, Suite 210, Salt Lake City, UT 84102-1428 | 2013-07-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on LISA DANIELS.
| 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.