LISA M. LEDOUX (NPI# 1922520972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922520972 |
| Entity Type | Individual |
| Full Name | LISA M. LEDOUX |
| Credential | NP |
| Practice Address |
3300 Main Street 3rd Fl, Suite C&d Springfield MA 01107-1112 |
| Mailing Address |
280 Chestnut Street 2nd Fl Springfield MA 01199-1001 |
| Practice Telephone | 4137945600 |
| Practice Fax Number | 4137947297 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN269919 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN269919 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN269919 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 MAIN STREET 3RD FL, SUITE C&D |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771402 | Joanne L Dalpe | Obstetrics & Gynecology | 3300 Main Street, Springfield, MA 01107-1112 | 2005-06-27 |
| 1992353908 | Kiley B Knowlton | Physician Assistant | 3300 Main Street, Springfield, MA 01107 | 2019-09-03 |
| 1396393484 | Lauren R Pankiw | Physician Assistant | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107-1112 | 2019-08-31 |
| 1912550146 | Leslee Rae Uhrich | Psychologist | 3300 Main Street, 4th Fl, Springfield, MA 01107-1112 | 2019-07-17 |
| 1497220669 | Christopher Michael Cowan | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-10-03 |
| 1720569676 | Anna Liza Tipgos Kilcoyne | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite C&d, Springfield, MA 01107-1112 | 2018-08-28 |
| 1265919583 | William Charles Paterwic | Social Worker | 3300 Main Street, Springfield, MA 01007 | 2018-07-20 |
| 1376029918 | Samantha Frances Duffy | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-07-17 |
| 1972093938 | Hillary Ann Morisset | Physician Assistant | 3300 Main Street, 3rd Fl, Suite A&b, Springfield, MA 01107-1112 | 2018-05-15 |
| 1568913747 | Tanya Dwyer | Nurse Practitioner | 3300 Main Street, 2nd Fl, Suite A, Springfield, MA 01199-1001 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
| 1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
| 1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
| 1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
| 1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
| 1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
| 1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
| 1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on LISA M. LEDOUX.
| 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.