LISA STODDART (NPI# 1902008840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902008840 |
| Entity Type | Individual |
| Full Name | LISA STODDART |
| Credential | FNP |
| Practice Address |
2465 Broadway New York NY 10025-7486 |
| Mailing Address |
Po Box 13822 Newark NJ 07188-0001 |
| Practice Telephone | 2127121000 |
| Practice Fax Number | 2127121092 |
| Mailing Telephone | 9175102854 |
| Mailing Fax Number | 9175102801 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F334730 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219820 | Lisa Stoddart | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-05-01 |
| 1902181696 | Lisa La Donna Stoddart | Nurse Practitioner | 678 N Wilson Way, Ste G, Stockton, CA 95205-4272 | 2011-10-13 |
| Street Address |
2465 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-7486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477561066 | Olutosin O Obasanya-eyitayo | Physical Therapist | 2465 Broadway, New York, NY 10025-7486 | 2006-08-03 |
| 1750800694 | Meredith Kim Petit | Physical Therapist | 2465 Broadway, New York, NY 10025-7486 | 2017-09-12 |
| 1720506249 | James Cascio | Physical Therapist | 2465 Broadway, New York, NY 10025-7486 | 2017-09-05 |
| 1528477486 | Shari Goodhart | Physical Therapist | 2465 Broadway, Lower Level, New York, NY 10025-7486 | 2014-08-05 |
| 1295145415 | Professional Orthopedic and Sports Physical Therapy PC | Physical Therapist | 2465 Broadway, New York, NY 10025-7486 | 2014-04-28 |
| 1821421892 | Alyssa Haines | Physical Therapist | 2465 Broadway, Lower Level, New York, NY 10025-7486 | 2013-08-14 |
| 1295038271 | Michael Thomas Ferris | Physical Therapist | 2465 Broadway, Lower Level, New York, NY 10025-7486 | 2010-12-13 |
| 1538475686 | David Jou | Physical Therapist | 2465 Broadway, Lower Level, New York, NY 10025-7486 | 2010-08-27 |
| 1679704829 | Jolan T Browne | Physical Therapist | 2465 Broadway, Lower Level, New York, NY 10025-7486 | 2009-08-06 |
| 1720216658 | Amy Polansky | Physical Therapist | 2465 Broadway, Front 1, New York, NY 10025-7486 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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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.