LISA VANG (NPI# 1760972814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760972814 |
| Entity Type | Individual |
| Full Name | LISA VANG |
| Practice Address |
15954 Rivers Edge Dr Hayward WI 54843-7800 |
| Mailing Address |
15954 Rivers Edge Dr Ste 304 Hayward WI 54843-7894 |
| Practice Telephone | 7156342541 |
| Mailing Telephone | 7156342541 |
| Mailing Fax Number | 7159345554 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975066 | Lisa Marie Vang | Behavioral Analyst | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2019-11-05 |
| 1730681628 | Lisa Vang | Behavior Technician | 1603a S Main St, Milpitas, CA 95035-6261 | 2018-03-06 |
| Street Address |
15954 RIVERS EDGE DR |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689603359 | Kirsten Louise January | Physical Therapist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2006-07-03 |
| 1982165320 | Brenda Baribeau | Counselor | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2019-03-28 |
| 1811476245 | Katie Christensen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-08-07 |
| 1265926323 | Macey Bunkelman | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-06-21 |
| 1629568779 | Julie Theisen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1356711444 | Marshfield Clinic Inc. | Durable Medical Equipment & Medical Supplies | 15954 Rivers Edge Dr, Suite 350, Hayward, WI 54843-7888 | 2015-10-01 |
| 1609003540 | Northernbridges | Case Management | 15954 Rivers Edge Dr, Suite #300, Hayward, WI 54843-7887 | 2009-06-18 |
| 1194907675 | Aaron Thomas Hamilton | Counselor | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2007-11-27 |
| 1265462667 | James L January | Physical Therapist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932567476 | Carmen Thompson | Dental Hygienist | 27592 Miami Ave, Hayward, CA 94545-4716 | 2016-01-28 |
| 1184923963 | Mallory Conley Harcourt | Dental Hygienist | 25200 Carlos Bee Blvd Apt 562, Hayward, CA 94542-1511 | 2011-03-20 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1417014580 | Zoya Kogan | Dental Hygienist | 26250 Industrial Blvd, Suite 24, Hayward, CA 94545-2922 | 2007-01-01 |
| 1811476245 | Katie Christensen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-08-07 |
| 1265926323 | Macey Bunkelman | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-06-21 |
| 1629568779 | Julie Theisen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1801337985 | Carly Botten | Dental Hygienist | 15910 W Company Lake Rd, C/o Tricia Krym, Hayward, WI 54843-5320 | 2017-03-09 |
| 1710331590 | Roxie Lynn Quaderer | Dental Hygienist | 13380 W Trepania Rd, 13380 W Trepania Road, Hayward, WI 54843-2186 | 2016-04-19 |
| 1477945426 | Tamara Tucker | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2015-02-28 |
| Find all providers in HAYWARD | ||||
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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.