MRS. LISA MICHELLE CALLAHAN (NPI# 1649261132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649261132 |
| Entity Type | Individual |
| Full Name | MRS. LISA MICHELLE CALLAHAN |
| Credential | RN, MSN, CPNP-PC |
| Practice Address |
1601 Ne 6th St Grants Pass OR 97526-1035 |
| Practice Telephone | 5414720021 |
| Practice Fax Number | 5414764003 |
| Mailing Telephone | 5414720021 |
| Mailing Fax Number | 5414764003 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
94000382 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 080965 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215180872 | Lisa Lindsay Callahan | Speech-Language Pathologist | 9 125th St, Troy, NY 12182-1903 | 2008-10-28 |
| 1619253192 | Lisa Callahan | Pharmacist | 1230 N Webb Rd, Grand Island, NE 68803-3304 | 2011-10-27 |
| 1457587727 | Lisa Callahan | Social Worker | 1526 Walden Ave Ste 400, Cheektowaga, NY 14225-4985 | 2009-06-01 |
| 1275788812 | Lisa Marie Callahan | Speech-Language Pathologist | 75 Henry St, Apt. 11-l, Brooklyn, NY 11201-1752 | 2008-11-24 |
| 1598928434 | Lisa R. Callahan | Specialist | 523 E 72nd St, 6th Floor Room 604, New York, NY 10021-4099 | 2008-07-09 |
| 1528261583 | Lisa Marie Callahan | Nurse Practitioner | 300 Quannapowitt Pkwy, Wakefield, MA 01880-1314 | 2007-06-07 |
| 1326118001 | Lisa Ann Callahan | Social Worker | 312 Locust St, Akron, OH 44302-1801 | 2006-11-09 |
| Street Address |
1601 NE 6TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263890 | Yung Kho | Psychiatry & Neurology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2005-05-31 |
| 1417331604 | Lori Simmons | Nurse Practitioner | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2015-07-17 |
| 1285947622 | Lisa Michelle Callahan | Clinic/Center | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2010-07-14 |
| 1427296623 | Rogue Valley Ear, Nose, Throat & Facial Plastics PC | Otolaryngology | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2009-01-26 |
| 1588739130 | Lisa Michelle Callahan | Clinic/Center | 1601 Ne 6th St, Grants Pass, OR 97526-1035 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639153380 | Deborah Ayoli | Nurse Practitioner | 1825 Sw Nebraska Ave, Grants Pass, OR 97527-5786 | 2005-12-05 |
| 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 | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on MRS. LISA MICHELLE CALLAHAN.
| 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.