LISA ANN DETTORRE (NPI# 1780805960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780805960 |
| Entity Type | Individual |
| Full Name | LISA ANN DETTORRE |
| Credential | CPNP |
| Practice Address |
701 White Pond Dr Ste 100 Akron OH 44320-1193 |
| Mailing Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3308651252 |
| Practice Fax Number | 3308651260 |
| Mailing Telephone | 3308651252 |
| Mailing Fax Number | 3308651260 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.01157-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 WHITE POND DR STE 100 |
| City | AKRON |
| State | OH |
| Zip Code | 44320-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477586261 | Melisa A Carmichael | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2006-07-08 |
| 1063866606 | Jenny Ruth White | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2016-04-20 |
| 1699169524 | Lauren Pontikos | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2015-03-28 |
| 1326380650 | Iris K Castillo | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2013-03-25 |
| 1265774681 | Molly Ruth Falasco | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320 | 2013-03-24 |
| 1144574328 | Dipti Sekhsaria | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2012-11-09 |
| 1003175688 | Amanda Gogol-tagliaferro | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2012-05-16 |
| 1447542519 | Katherine Jeanne Swearingin | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2011-05-09 |
| 1114232147 | Katharine A. Wade | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2010-08-14 |
| 1477889509 | Meghan Whitehouse Mahanta | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2009-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1205320108 | Dwynica S Pendleton | Case Manager/Care Coordinator | 1176 Cordova Ave, Akron, OH 44320 | 2018-06-15 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| Find all providers in zip 44320 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589987 | James D Cooper | Nurse Practitioner | 224 W Exchange St Ste 330, Akron, OH 44302 | 2018-05-24 |
| 1124526280 | Shannon Jackson | Nurse Practitioner | 850 Independence Ave, Akron, OH 44310-2541 | 2018-01-24 |
| 1508305392 | Tracie Fitch | Nurse Practitioner | 3043 Sanitarium Rd Ste 1, Akron, OH 44312-4600 | 2017-02-14 |
| 1245789676 | Bridgett Mary Hoover | Nurse Practitioner | 265 Portage Trail Ext. West, Suite 200, Akron, OH 44223-3613 | 2016-09-27 |
| 1831573799 | Sara L Grater | Nurse Practitioner | 701 White Pond Dr Ste 300, Akron, OH 44320-1193 | 2015-07-10 |
| 1841601572 | M. Amber Karsian | Nurse Practitioner | 26861 Hwy 34, Akron, CO 80720 | 2014-05-15 |
| 1699114801 | Summa Physicians Inc | Nurse Practitioner | 75 Arch St Ste 401, Akron, OH 44304-1433 | 2013-06-20 |
| 1316225667 | April Jordan | Nurse Practitioner | 1 Akron General Ave Bldg 3015th, Akron, OH 44307-2432 | 2011-08-03 |
| 1023263258 | Summa Physicians Inc | Nurse Practitioner | 525 E Market St Ste 400, Akron, OH 44304-1619 | 2008-12-02 |
| 1053569624 | Ruth Anna Youssefi | Nurse Practitioner | 215 W Bowery St Ste 3500, Akron, OH 44308-1024 | 2008-09-08 |
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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.