LISA HOLCOMB (NPI# 1861861973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861861973 |
| Entity Type | Individual |
| Full Name | LISA HOLCOMB |
| Credential | ARNP |
| Practice Address |
1514 1st St N Winter Haven FL 33881-2476 |
| Mailing Address |
1400 N Us Highway 441 Ste 930 The Villages FL 32159-6812 |
| Practice Telephone | 8632915110 |
| Practice Fax Number | 8632915128 |
| Mailing Telephone | 8632915110 |
| Mailing Fax Number | 8632915128 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9298814 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245553619 | Lisa H. Holcomb | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-12 |
| 1386818425 | Lisa Gayle Holcomb | Obstetrics & Gynecology | 1942 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5004 | 2008-04-19 |
| 1518169432 | Lisa D Holcomb | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43081-2890 | 2007-06-04 |
| 1316038235 | Lisa M Holcomb | Audiologist | 1200 E Michigan Ave, Suite 330, Lansing, MI 48912-1800 | 2006-09-27 |
| Street Address |
1514 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-2476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520118 | Kelly Jean Dinapoli | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2005-07-06 |
| 1356993380 | Valerie Moncayo | Dentist | 1514 1st St N, Winter Haven, FL 33881-2476 | 2019-07-10 |
| 1659837078 | Lindsey Ann Grych | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2019-02-11 |
| 1053882290 | Dominiqua Lint | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2018-12-16 |
| 1689159402 | Ron Pickos | Pharmacist | 1514 1st St N, Winter Haven, FL 33881-2476 | 2018-09-27 |
| 1518455633 | Yamira Bordas | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2018-04-24 |
| 1396261277 | Khalid Aldorri | Dentist | 1514 1st St N, Winter Haven, FL 33881-2476 | 2017-08-22 |
| 1932659414 | Tiffany Lee Garner | Nurse Practitioner | 1514 1st St N, Winter Haven, FL 33881-2476 | 2016-10-10 |
| 1336591577 | Anjelika Marti Bagdasarov | Dentist | 1514 1st St N, Winter Haven, FL 33881-2476 | 2016-07-12 |
| 1972951390 | Ronald Dennis Lund | Dietitian, Registered | 1514 1st St N, Winter Haven, FL 33881-2476 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728013 | Valery Guerrier | Nurse Practitioner | 861 Terranova Rd, Winter Haven, FL 33884-3441 | 2020-04-08 |
| 1801429667 | Jennifer Barbara Parkes | Nurse Practitioner | 217 E Central Ave, Winter Haven, FL 33880-6312 | 2020-02-19 |
| 1205313434 | Tessy Jean-charles | Nurse Practitioner | 7492 Cypress Gardens Blvd, Winter Haven, FL 33884-4104 | 2018-07-20 |
| 1982095717 | Rhonda Reuben- Khan | Nurse Practitioner | 999 Avenue H Ne, Polk State College, Winter Haven, FL 33881-4209 | 2015-02-16 |
| 1962849323 | Brenda Kvamme Luedeman | Nurse Practitioner | 122 W Central Ave, Winter Haven, FL 33880-6313 | 2013-05-25 |
| 1467799643 | Patricia Rodriguez Kent | Nurse Practitioner | 201 Lake Otis Rd, Winter Haven, FL 33884-1065 | 2013-01-08 |
| 1205990611 | Marguerite Edwards | Nurse Practitioner | 316 Suwannee Rd, Winter Haven, FL 33884-1466 | 2006-12-20 |
| 1194386144 | James Ray Fuentes | Nurse Practitioner | 200 Avenue F Ne, Winter Haven, FL 33881-4193 | 2019-06-20 |
| 1891262960 | Amber Marie Madrid | Nurse Practitioner | 500 E Central Ave, Winter Haven, FL 33880-3094 | 2018-10-26 |
| 1730614405 | Laurel Anne Lawrence | Nurse Practitioner | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2017-05-01 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on LISA HOLCOMB.
| 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.