LISA ANN BARRY


Address: 165 Lancaster St, Portland, ME 04101-2406
Phone: 2078741030

LISA ANN BARRY (NPI# 1548592173) 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) 1548592173
Entity Type Individual
Full Name LISA ANN BARRY
Credential RNC; MSW; PMHNP-C
Practice Address 165 Lancaster St
Portland
ME 04101-2406
Mailing Address 78 Atlantic Pl
South Portland
ME 04106-2316
Practice Telephone 2078741030
Practice Fax Number 2078741044
Mailing Telephone 2076616654
Mailing Fax Number 2078427773
Enumeration Date 2010-02-08
Last Update Date 2015-10-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN25117 ME Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP91065 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 435421999 05

Other Providers LISA BARRY

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Office Location

Street Address 165 LANCASTER ST
City PORTLAND
State ME
Zip Code 04101-2406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780646430 Marianne Decain Tarraza Registered Nurse 165 Lancaster St, Portland, ME 04101-2406 2006-04-06
1033743232 Glenn Andrew Mayer Counselor 165 Lancaster St, Portland, ME 04101-2406 2020-02-26
1972137172 Erin Eileen Freysinger Social Worker 165 Lancaster St, Portland, ME 04101-2406 2020-02-26
1528603396 Miranda Nichols Counselor 165 Lancaster St, Portland, ME 04101-2406 2019-11-15
1265912067 Mainehealth Community/Behavioral Health 165 Lancaster St, Portland, ME 04101-2406 2018-08-21
1952889529 Elizabeth Clifford Nurse Practitioner 165 Lancaster St, Portland, ME 04101 2018-08-05
1295222388 Christine Renaud Social Worker 165 Lancaster St, Portland, ME 04101-2406 2018-04-16
1033627237 Mackenzie Mullen Ross Registered Nurse 165 Lancaster St, Portland, ME 04101-2406 2018-01-22
1699282194 Elizabeth Center Counselor 165 Lancaster St, Portland, ME 04101-2406 2018-01-05
1154794246 Rebekah Joy Crabtree Social Worker 165 Lancaster St, Portland, ME 04101-2406 2015-11-11
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Providers in the same zip code

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1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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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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