LISA JORGENSON (NPI# 1780955849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780955849 |
| Entity Type | Individual |
| Full Name | LISA JORGENSON |
| Practice Address |
1325 S Cliff Ave Sioux Falls SD 57105-1007 |
| Practice Telephone | 6053224425 |
| Mailing Telephone | 6053224425 |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
CP000532 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | HOSPITAL | 1568460772 | 01 |
| Street Address |
1325 S CLIFF AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1548873615 | Emily Catherine Dix | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-08-28 |
| 1912516873 | Gina Gronewold | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-27 |
| 1912525890 | Brooke Marie Gebhart | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-08 |
| 1093332181 | Courtney Ruth Allen | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-06 |
| 1285250548 | Danielle Hart | Anesthesiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-23 |
| 1164048039 | Madison Marie Guhlke | Speech-Language Pathologist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-17 |
| 1497379960 | Dawn Johnson | Dietitian, Registered | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-01 |
| 1790308351 | Justine Wilson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-05-18 |
| 1932735511 | Katelyn Arbogast | Occupational Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299685 | Brooke Emily Welker | Nurse Practitioner | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-08-01 |
| 1780284281 | Laura Elizabeth Hofer | Nurse Practitioner | 818 W 5th St, Sioux Falls, SD 57104-2624 | 2020-10-26 |
| 1871043695 | Mallary Ann Van Tol | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2016-10-05 |
| 1285187252 | Deann K Matthiesen | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2016-07-26 |
| 1285978916 | Jill M Barch | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2012-11-19 |
| 1235400391 | Angela Ranae Riley | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2012-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689188096 | Hope Giesler | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2017-11-21 |
| 1811362353 | Megan Hammerbeck | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2015-12-09 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on LISA JORGENSON.
| 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.