LISA S BAILEY (NPI# 1730663287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730663287 |
| Entity Type | Individual |
| Full Name | LISA S BAILEY |
| Other Name | LISA S ISRAEL |
| Credential | PA |
| Practice Address |
1195 N Main St Providence RI 02904-1824 |
| Practice Telephone | 4018613782 |
| Practice Fax Number | 4018613782 |
| Mailing Telephone | 4018613782 |
| Mailing Fax Number | 4013835846 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01080 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471580 | Lisa Marie-mausbach Bailey | Clinic/Center | 10474 W 38th Ave, Wheat Ridge, CO 80033-4010 | 2019-01-29 |
| 1124577531 | Lisa Bailey | Licensed Practical Nurse | 5940 Zenobia Rd, Wakeman, OH 44889-9466 | 2016-09-26 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1982996757 | Lisa Marie Bailey | Counselor | 9040 Fm 1617, Trinity, TX 75862-7525 | 2011-05-11 |
| 1508979857 | Lisa Ann Bailey | Social Worker | 320 N Eisenhower Ave, Mason City, IA 50402-1338 | 2006-08-17 |
| 1912927153 | Lisa Gaye Bailey | Psychiatry & Neurology | 565 A St, Suite 200, Ashland, OR 97520-2063 | 2006-07-20 |
| 1487609871 | Lisa M Bailey | Nurse Practitioner | 7148 U S Highway 98, Suite 101, Hattiesburg, MS 39402-8577 | 2006-05-23 |
| 1518567064 | Lisa Ann Bailey | Pharmacist | 2107 S 11th St, Niles, MI 49120-4060 | 2020-10-26 |
| 1639647571 | Lisa Bailey | Technician | 1811 S Jones Blvd, Las Vegas, NV 89146 | 2018-11-08 |
| 1487120002 | Lisa Ellen Bailey | Specialist/Technologist | 1870 Quaker Way, Wilmington, OH 45177-2473 | 2018-10-22 |
| Street Address |
1195 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790744381 | Ian Paul Krouson | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2006-03-22 |
| 1700323490 | Sean Bennett Eden | Physician Assistant | 1195 N Main St, Fl 2, Providence, RI 02904-1824 | 2017-01-19 |
| 1558816330 | East Side Primary Care Providence LLC | Internal Medicine | 1195 N Main St, Providence, RI 02904-1824 | 2016-08-22 |
| 1235305871 | Agape Primary Care and Laser Center LLC | Dermatology | 1195 N Main St, Providence, RI 02904-1824 | 2008-05-04 |
| 1558531467 | East Side Urgent Care LLC | Clinic/Center | 1195 N Main St, Providence, RI 02904-1824 | 2008-03-06 |
| 1952501942 | Jason Charles Xynellis | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2007-07-19 |
| 1437224763 | Michael Stempek | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2006-11-21 |
| 1639168198 | Frederick Salvatore Crisafulli | Internal Medicine | 1195 N Main St, Providence, RI 02904-1824 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622265 | Jacob H. Sosa | Physician Assistant | 11 Amy St, Providence, RI 02906-3802 | 2020-06-02 |
| 1114541661 | Alison Ruth Dias | Physician Assistant | 164 Summit Ave Fl 3, Providence, RI 02906-2853 | 2020-06-01 |
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1659915221 | Sanju Dhital | Physician Assistant | 15 Tew Pl, Providence, RI 02906-1721 | 2019-11-06 |
| 1467093823 | Alan Miller | Physician Assistant | 79 11th St, Providence, RI 02906-2911 | 2019-10-07 |
| 1134774011 | Linda Ung | Physician Assistant | 198 Wendell St, Providence, RI 02909-2129 | 2019-08-07 |
| 1346703527 | Simran Kaur Kochar | Physician Assistant | 207 Jastram St, Providence, RI 02908-2708 | 2019-04-13 |
| 1457881666 | Katelyn Mary Pires | Physician Assistant | 539 Eddy St., Providence, RI 02903 | 2017-06-20 |
| 1265556872 | Tor Clark | Physician Assistant | Brown University Health Service, Box 1928, Providence, RI 02912 | 2007-03-19 |
| 1275509408 | Sharonda Evette Keith | Physician Assistant | 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 | 2006-02-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on LISA S BAILEY.
| 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.