LISA CARRILLO (NPI# 1821617796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821617796 |
| Entity Type | Individual |
| Full Name | LISA CARRILLO |
| Credential | RN |
| Practice Address |
4332 Majestic Prince Way Roseville CA 95747-9627 |
| Mailing Address |
8 Wilshire Ct Daly City CA 94015-1038 |
| Practice Telephone | 6504528434 |
| Mailing Telephone | 6504528434 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
738171 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588965347 | Lisa Marie Carrillo | Marriage & Family Therapist | 6820 Indiana Ave Ste 240, Riverside, CA 92506-4262 | 2010-11-10 |
| 1437679404 | Lisa Marie Carrillo | Social Worker | 42 County Center Dr, Oroville, CA 95965-3335 | 2017-06-21 |
| 1962422907 | Lisa Carrillo | Physical Therapist | 1414 South Loop W, Ste. #200, Houston, TX 77054-3825 | 2006-07-20 |
| Street Address |
4332 MAJESTIC PRINCE WAY |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| 1053895821 | Sundog Enterprises | Registered Nurse | 2336 Lexington Ave N Ste L, Roseville, MN 55113-4343 | 2018-09-18 |
| 1033417852 | Brittany M Richards | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1205134186 | Monica Seckerson | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-03-02 |
| 1861799967 | Sara Anne Schneider | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1336446434 | Katie J Wirth | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-25 |
| 1134426489 | Rebecca Ann Delaney | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1013214378 | Heather Marie Semler | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-23 |
| 1457658890 | Kelly Jane Judd | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-22 |
| 1215234588 | Elizabeth Ann Alvarado | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-02-22 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on LISA CARRILLO.
| 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.