LISA ANN EDWARDS (NPI# 1588151567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588151567 |
| Entity Type | Individual |
| Full Name | LISA ANN EDWARDS |
| Credential | PPCNP-BC |
| Practice Address |
10830 Highway 62 Eagle Point OR 97524 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5418304060 |
| Mailing Telephone | 5418304060 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
201801351NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500743373 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 668 Espey Rd, Grants Pass, OR 975277728 | 5419100972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525528 | Lisa Edwards | Adult Companion | 24020 W Riverwalk Ct Ste 122, Plainfield, IL 60544-7126 | 2018-07-20 |
| 1417407230 | Lisa Correll Edwards | Nurse Practitioner | 397 Mccoy Cove Rd, Black Mountain, NC 28711-9595 | 2016-10-05 |
| 1427447606 | Lisa Edwards | Speech-Language Pathologist | 2675 Court Dr # B, Gastonia, NC 28054-1478 | 2015-01-12 |
| 1114359734 | Lisa Helen Edwards | Specialist/Technologist | 19069 N Falcon Ln, Maricopa, AZ 85138-3244 | 2013-08-06 |
| 1801233283 | Lisa Edwards | Registered Nurse | 5032 N 33rd St, Milwaukee, WI 53209-5433 | 2013-05-26 |
| 1497980239 | Lisa Anned Edwards | Occupational Therapist | 14114 Little Leaf Dr, San Antonio, TX 78247-3716 | 2009-05-22 |
| 1093994899 | Lisa Edwards | Counselor | 3611 S Soncy Rd Ste 4a, Amarillo, TX 79119-6408 | 2007-10-29 |
| 1841402070 | Lisa J Edwards | Social Worker | 1170 E Central Ave, West Carrollton, OH 45449-1825 | 2007-05-03 |
| 1174018451 | Lisa Martina Edwards | Case Manager/Care Coordinator | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2018-06-28 |
| 1497247480 | Lisa Edwards | Peer Specialist | 665 W Market St, Akron, OH 44303-1438 | 2018-06-05 |
| Street Address |
10830 HIGHWAY 62 |
| City | EAGLE POINT |
| State | OR |
| Zip Code | 97524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1639682834 | Marianne Arasmith | Massage Therapist | 6443 Monte Vista Ct, Eagle Point, OR 97524 | 2017-11-09 |
| 1437566163 | Mandy Dawn Walden | Behavioral Analyst | 360 N. Deanjou Ave, Eagle Point, OR 97524 | 2014-07-15 |
| 1710313200 | Casey Joe Winkler | Behavioral Analyst | 587 Sherman Way, Eagle Point, OR 97524 | 2013-09-17 |
| 1871745901 | Keith Fusao Ogawa | Dentist | 217 W. Main St., Eagle Point, OR 97524 | 2008-10-21 |
| 1578729893 | Tina Louise Matthews | Massage Therapist | 151 West Linn Rd, F6, Eagle Point, OR 97524 | 2008-08-06 |
| 1588700819 | Greg Gonzalez Pediatrics | Clinic/Center | 275 Loto Street, Eagle Point, OR 97524 | 2007-01-30 |
| 1194876235 | Donald Kirk Wolf | Physical Therapist | 158 Main, Eagle Point, OR 97524 | 2007-01-16 |
| 1780759985 | Eagle Point Dental Group,p.c. | Dentist | 217 W Main Street, Eagle Point, OR 97524 | 2006-11-22 |
| 1831268515 | Carmen D Edwards-henry | Speech-Language Pathologist | 1020 Highlands Drive, Eagle Point, OR 97524 | 2006-11-07 |
| Find all providers in zip 97524 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1457707390 | Sarah Halstead | Nurse Practitioner | 2421 Washburn Way, Klamath Falls, OR 97603-4525 | 2016-05-10 |
| 1164829578 | Debdeep Nath | Nurse Practitioner | 12225 Sw 2nd St Ste 150, Beaverton, OR 97005 | 2014-12-01 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1912339896 | Gabrielle Marie Petersen | Nurse Practitioner | 1713 Penn Ln, Oregon City, OR 97045-1528 | 2013-08-02 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1972814440 | Alicia Marie Mcintire | Nurse Practitioner | 995 Willagillespie Rd # 100, Eugene, OR 97401-2186 | 2010-06-29 |
| 1255662953 | Elizabeth T Millan | Nurse Practitioner | 2150 Ne Daggett Ln, Bend, OR 97701-6560 | 2010-01-19 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE POINT |
| Zip Code | 97524 |
Please comment or provide details below to improve the information on LISA ANN EDWARDS.
| 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.