DR. LISA DIANE HERZIG (NPI# 1790910701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790910701 |
| Entity Type | Individual |
| Full Name | DR. LISA DIANE HERZIG |
| Credential | MD |
| Practice Address |
4800 Sand Point Way Ne M/s Oc.9.840 Seattle WA 98105-3901 |
| Practice Telephone | 2069872210 |
| Practice Fax Number | 2069873824 |
| Mailing Telephone | 2069872210 |
| Mailing Fax Number | 2069873824 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD60272117 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939385 | Lisa Herzig | Dietitian, Registered | 9898 N Millbrook Ave, Fresno, CA 93720-1313 | 2019-02-28 |
| Street Address |
4800 SAND POINT WAY NE M/S OC.9.840 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568880276 | Angela J Armen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-31 |
| 1710135926 | Emily Myers | Pediatrics | 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 | 2008-08-29 |
| 1093931339 | Sterling K Clarren | Pediatrics | 2142 10th Ave W, Seattle Children's Home, Seattle, WA 98119-2845 | 2007-04-17 |
| 1538240890 | Michael L Cunningham | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1992886246 | Samuel Zinner | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1093896359 | Anne M Leavitt | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1962592857 | Daniel Doherty | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-13 |
| 1285724179 | Charles A Cowan | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-13 |
| 1306956883 | Gwen M Glew | Pediatrics | 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195-6340 | 2006-08-30 |
| 1710094131 | Timothy J Brei | Pediatrics | 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 | 2006-08-23 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on DR. LISA DIANE HERZIG.
| 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.