MRS. LISA ELLEN SANDOVAL (NPI# 1689601924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689601924 |
| Entity Type | Individual |
| Full Name | MRS. LISA ELLEN SANDOVAL |
| Credential | ATC |
| Practice Address |
500 W Hobbs St Roswell NM 88203-1834 |
| Mailing Address |
2803 Purdue Dr Roswell NM 88203-2375 |
| Practice Telephone | 5056373200 |
| Mailing Telephone | 5056251968 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
186 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790062487 | Lisa Shafer Sandoval | Social Worker | 5491 E 117th Ave, Thornton, CO 80233-1832 | 2011-11-08 |
| 1740593748 | Lisa Carol Sandoval | Speech-Language Pathologist | 3166 E Palmdale Blvd Ste 112, Palmdale, CA 93550-5038 | 2010-07-19 |
| 1427553544 | Lisa A Sandoval | Social Worker | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2018-03-29 |
| 1831261759 | Lisa Ann Sandoval | Occupational Therapist | 10717 Jordan Ct, Parker, CO 80134 | 2006-11-15 |
| 1063411627 | Lisa Elliott Sandoval | Pharmacist | 811 13th St, Phrmh Pharmacy, Hood River, OR 97031-1204 | 2005-07-17 |
| Street Address |
500 W HOBBS ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679811046 | Nmu-roswell Roswell High School Sbhc | Local Education Agency (LEA) | 500 W Hobbs St, Roswell, NM 88203-1834 | 2013-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1932667037 | Amber Michelle Corcoran | Specialist/Technologist | 9310 Scott Rd, Roswell, GA 30076-3417 | 2019-03-07 |
| 1568945400 | Marian Bornhorst | Specialist/Technologist | 1090 Westcroft Ln, Roswell, GA 30075-6020 | 2018-09-06 |
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1669900015 | Alison Perry | Specialist/Technologist | 11595 King Rd, Roswell, GA 30075-2207 | 2017-05-30 |
| 1134657844 | Nolan Baugh | Specialist/Technologist | 625 W Crossville Rd Ste 216, Roswell, GA 30075-7515 | 2017-05-24 |
| 1790898351 | William Preston Bazemore | Specialist/Technologist | 11320 Woodstock Rd, Roswell, GA 30075-2548 | 2006-08-17 |
| 1275578536 | Tracey Lyn Huie | Specialist/Technologist | 4175 Riverhill Ct Ne, Roswell, GA 30075-1954 | 2006-06-19 |
| 1902891989 | Jose O Barron Jr. | Specialist/Technologist | 101 W College Blvd, Roswell, NM 88201-5174 | 2005-09-15 |
| 1033603832 | Deep Gautam Patel | Specialist/Technologist | 11685 Alpharetta Hwy, Roswell, GA 30076-4913 | 2018-06-15 |
| Find all providers in ROSWELL | ||||
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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.