MRS. LISA M JOCK (NPI# 1558910943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558910943 |
| Entity Type | Individual |
| Full Name | MRS. LISA M JOCK |
| Practice Address |
1276 Skipper Run Sw Supply NC 28462 |
| Practice Telephone | 9108426769 |
| Mailing Telephone | 9108426769 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1276 SKIPPER RUN SW |
| City | SUPPLY |
| State | NC |
| Zip Code | 28462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
| 1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
| 1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
| 1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| 1720014012 | Coastal Gastroenterology Pllc | Internal Medicine | 3 Medical Center Drive, Supply, NC 28462 | 2006-06-25 |
| Find all providers in zip 28462 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037057 | Alan Cairns Bonsall | Technician | 10127 Misty Moss Ct, Mint Hill, NC 28227-8120 | 2020-09-09 |
| 1962010108 | Angel Elliott | Technician | 911 Us Hwy 52 N, New London, NC 28127 | 2020-07-14 |
| 1013535533 | Frankie Bartholomew | Technician | 1802d White Level Rd, Louisburg, NC 27549-8270 | 2020-07-10 |
| 1578186722 | Crystal Jacobs | Technician | 146 Glovers Cross Rd, Colerain, NC 27924-9444 | 2020-05-22 |
| 1497374854 | Brenda Irish | Technician | 270 Winchester Woods Dr, Murphy, NC 28906-6900 | 2020-04-15 |
| 1982231643 | Melody Poole | Technician | 506 Ocean Spray Dr, Cedar Point, NC 28584-9319 | 2020-03-24 |
| 1295366904 | Jessica Knadler | Technician | 132 Windsor Ln, Raeford, NC 28376-8251 | 2020-01-31 |
| 1568093417 | Diana Opiyo | Technician | 9940 Heathergate Ln, Mint Hill, NC 28227-4309 | 2020-01-30 |
| 1184264087 | Amiee Morgan Lara | Technician | 116 Waco Ave, Kannapolis, NC 28083-6364 | 2020-01-09 |
| 1598303752 | Crystal Hunt | Technician | 1941 Westhill Dr, Fayetteville, NC 28304-5256 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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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.