LISA WALLENFELS (NPI# 1891839064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891839064 |
| Entity Type | Individual |
| Full Name | LISA WALLENFELS |
| Credential | NP |
| Practice Address |
1360 N Forest Rd Ste 102 Williamsville NY 14221-1200 |
| Mailing Address |
2240 North Forest Rd. Williamsville NY 14221 |
| Practice Telephone | 7166394034 |
| Practice Fax Number | 7166397814 |
| Mailing Telephone | 7166394034 |
| Mailing Fax Number | 7166397814 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
420426 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
F420426 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS | 000560362003 | 01 |
| NY | IHA | 9512212 | 01 |
| Street Address |
1360 N FOREST RD STE 102 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551331 | Margaret R Mitchell | Internal Medicine | 1360 N Forest Rd, Williamsville, NY 14221-1200 | 2005-07-13 |
| 1982180717 | Darcy Geis | Lactation Consultant, Non-RN | 1360 N Forest Rd, Williamsville, NY 14221-1200 | 2018-07-16 |
| 1417304486 | Jennifer Mancuso Urban Lcsw Pllc | Social Worker | 1360 N Forest Rd, Suite 102, Williamsville, NY 14221-1200 | 2016-05-19 |
| 1083910897 | Rachel Lynn Dispenza | Specialist | 1360 N Forest Rd, 102, Williamsville, NY 14221-1200 | 2011-01-27 |
| 1659697258 | Jennifer Urban | Social Worker | 1360 N Forest Rd, Suite 102, Williamsville, NY 14221-1200 | 2010-04-08 |
| 1861536039 | Helen Murphy | Obstetrics & Gynecology | 1360 N Forest Rd, Ste 102, Williamsville, NY 14221-1200 | 2007-02-19 |
| 1215975289 | Forest Medical Group, Pllc | Internal Medicine | 1360 N Forest Rd, Suite 3, Williamsville, NY 14221-1200 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609910868 | Cheryl Haslinger | Nurse Practitioner | 2240 North Forest Rd., Williamsville, NY 14221 | 2007-02-19 |
| 1003883851 | Mariana Renee Rizzo | Nurse Practitioner | 1835 Maple Rd, Williamsville, NY 14221-2711 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473358 | Kaylin King | Nurse Practitioner | 940 8th Ave, New York, NY 10019-4287 | 2020-06-26 |
| 1457780116 | Yelena Pankova | Nurse Practitioner | 2236 E 13th St, Brooklyn, NY 11229-4304 | 2013-11-04 |
| 1144661026 | Euree Chun | Nurse Practitioner | 545 First Avenue, New York, NY 10016-6930 | 2013-07-08 |
| 1588907026 | Theresa Margaret Salas | Nurse Practitioner | 1500 Route 112 Bldg 11, Suites A-b, Port Jefferson Station, NY 11776-3184 | 2013-04-03 |
| 1659632909 | Kathleen Louise Wunderlich | Nurse Practitioner | 66 Brinker Hoff Street, Planned Parenthood of The North Country New York, Inc., Plattsburgh, NY 12901 | 2012-06-04 |
| 1437477650 | Elisabeth Markus-sullivan | Nurse Practitioner | 175 7th Ave, Brooklyn, NY 11215-2647 | 2010-05-12 |
| 1710201371 | Amy L Kidney | Nurse Practitioner | 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 | 2010-03-24 |
| 1346487253 | Marion Fischer Lenihan | Nurse Practitioner | 374 Sarles St, Mount Kisco, NY 10549-4740 | 2009-01-14 |
| 1336396886 | Lucille Anne Coady | Nurse Practitioner | 909 Culver Rd, Rochester, NY 14609-7141 | 2008-08-26 |
| 1508026667 | Loriellen E Lorusso | Nurse Practitioner | 5225 Route 347 Ste 70, Port Jefferson Station, NY 11776-2061 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.