LISA POULIOT (NPI# 1679094304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679094304 |
| Entity Type | Individual |
| Full Name | LISA POULIOT |
| Credential | RN |
| Practice Address |
2356 University Ave W Ste 220 Saint Paul MN 55114-1850 |
| Practice Telephone | (651) 789-2299 |
| Practice Fax Number | 6513061359 |
| Mailing Telephone | 6517892299 |
| Mailing Fax Number | 6513061359 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R166267-0 | MN | Nursing Service Providers |
| Street Address |
2356 UNIVERSITY AVE W STE 220 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1639736150 | Hassan Hussein Sirat | Registered Nurse | 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 | 2019-05-20 |
| 1134633704 | Overcomer Healthcare Service Corporation | Registered Nurse | 1238 Birmingham St, Saint Paul, MN 55106-2116 | 2017-11-18 |
| 1306368956 | Kong Yang | Registered Nurse | 1261 Payne Ave # 102, Saint Paul, MN 55130-3668 | 2017-07-14 |
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1184152084 | Mai Nhia Vang | Registered Nurse | 1261 Payne Ave Ste 102, Saint Paul, MN 55130-3668 | 2017-05-23 |
| 1548700677 | Susan Nduta Apollo | Registered Nurse | 2316 Londin Ct E # 28, Saint Paul, MN 55119-5517 | 2017-03-08 |
| 1255873931 | Bethlehem Kiflom | Registered Nurse | 1800 Graham Ave Unit 330, Saint Paul, MN 55116-1371 | 2016-11-10 |
| 1598207797 | Alemu Jirane | Registered Nurse | 1327 Maynard Dr E Apt 545, Saint Paul, MN 55116-2977 | 2016-11-06 |
| 1982156444 | Mary Joy Moua | Registered Nurse | 713 Minnehaha Ave E, Suite 218, Saint Paul, MN 55106-4441 | 2016-11-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on LISA POULIOT.
| 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.