LISA WAGNER (NPI# 1811293475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811293475 |
| Entity Type | Organization |
| Organization Name | LISA WAGNER |
| Practice Address |
455 E Grand River Ave Suite 204 Brighton MI 48116-1551 |
| Mailing Address |
4970 Northwind Dr Suite 226 East Lansing MI 48823-5080 |
| Practice Telephone | 8104941700 |
| Practice Fax Number | 8104940223 |
| Mailing Telephone | 5173361940 |
| Mailing Fax Number | 5173361944 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | MRS. LISA WAGNER (AUDIOLOGIST) |
| Authorized Official Telephone | 5173361940 |
| Authorized Official Credential | MA, CCC-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000283 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649384991 | Lisa Wagner | Clinic/Center | 5420 Dashwood Dr, Suite 210, Houston, TX 77081-5357 | 2006-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LISA WAGNER | 8711 Bell Tower Dr, Gaithersburg, MD 20879-1782 |
| Street Address |
455 E GRAND RIVER AVE SUITE 204 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963012 | Samir Kumar Barman | Physical Therapist | 455 E Grand River Ave, Suite 104, Brighton, MI 48116-1551 | 2005-12-19 |
| 1265973713 | Lauren Lobert Physical Therapy LLC | Physical Therapist | 455 E Grand River Ave, Suite 102, Brighton, MI 48116-1551 | 2017-03-16 |
| 1972963437 | Peak Physical Therapy Clinic LLC | Physical Therapist | 455 E Grand River Ave, Suite 102, Brighton, MI 48116-1551 | 2016-02-26 |
| 1235598012 | Peak Physical Therapy Clinic LLC | Physical Therapist | 455 E Grand River Ave, Suite 102, Brighton, MI 48116-1551 | 2016-02-22 |
| 1073842167 | Healing Touch Physical & Occupational Therapy Inc. | Clinic/Center | 455 E Grand River Ave, Suite 104a, Brighton, MI 48116-1551 | 2009-12-18 |
| 1316186216 | Amy Elizabeth Gallegos | Physical Therapist | 455 E Grand River Ave, Suite 102, Brighton, MI 48116-1551 | 2009-02-17 |
| 1942345921 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 455 E Grand River Ave, Brighton, MI 48116-1551 | 2007-02-20 |
| 1558456301 | Mitchell Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 455 E Grand River Ave, Ste 206, Brighton, MI 48116-1551 | 2006-10-04 |
| 1326097098 | Natham William Karrumi | Chiropractor | 455 E Grand River Ave, Suite 204a, Brighton, MI 48116-1551 | 2006-05-09 |
| 1811973126 | Caring Rehab Services,inc | Physical Therapist | 455 E Grand River Ave, Suite 104, Brighton, MI 48116-1551 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1568581643 | Amanda G. Szymanski | Audiologist | 13981 Downing St, Brighton, CO 80602-6347 | 2007-03-28 |
| 1265448773 | Kevin Wilson Shanks | Audiologist | 2250 Genoa Business Park Dr Ste 130, Suite 130, Brighton, MI 48114-7372 | 2006-08-01 |
| 1649895319 | Shuai Zhang | Audiologist | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-09 |
| 1710426663 | Aya Audiological Consultants, LLC | Audiologist | 2300 Genoa Business Park Dr, Suite 130, Brighton, MI 48114-7367 | 2017-02-13 |
| 1477098093 | Bbl Holdings, LLC | Audiologist | 8023 Grand River Rd, 400, Brighton, MI 48114-9392 | 2017-01-05 |
| 1154731636 | Delvina Labrecque | Audiologist | 736 Cambridge St, Smc 8 Audiology, Brighton, MA 02135-2907 | 2014-05-06 |
| 1568716074 | Naomi Bramhall | Audiologist | 736 Cambridge St, St. Elizabeth's Medical Center Dept of Otolaryngology, Brighton, MA 02135-2907 | 2012-11-06 |
| 1912265042 | Mark Allen Parker | Audiologist | 736 Cambridge St, Smc-8, Brighton, MA 02135-2907 | 2012-04-26 |
| 1922327170 | Kathleen Breen | Audiologist | 736 Cambridge St, Brighton, MA 02135-2907 | 2010-05-27 |
| Find all providers in BRIGHTON | ||||
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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.