DR. LISA MARIE MICAN


Address: 4110 Guadalupe St, Austin, TX 78751-4223
Phone: 5124192757

DR. LISA MARIE MICAN (NPI# 1932106424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932106424
Entity Type Individual
Full Name DR. LISA MARIE MICAN
Credential PHARM.D.
Practice Address 4110 Guadalupe St
Austin
TX 78751-4223
Practice Telephone 5124192757
Practice Fax Number 5124192788
Mailing Telephone 5124192757
Mailing Fax Number 5124192788
Enumeration Date 2005-06-30
Last Update Date 2015-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1300X Pharmacist
Specialization: Psychiatric
39245 TX Pharmacy Service Providers

Office Location

Street Address 4110 GUADALUPE ST
City AUSTIN
State TX
Zip Code 78751-4223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972411 Eulon Ross Taylor Psychiatry & Neurology 4110 Guadalupe St, Austin State Hospital, Austin, TX 78751-4223 2005-06-17
1396359261 Laura Adzoa Kumordzie Nurse Practitioner 4110 Guadalupe St, Austin, TX 78751-4223 2020-09-08
1154943462 Lyndsay Brooks Psychologist 4110 Guadalupe St, Austin, TX 78751-4223 2020-05-08
1427684133 Tanya Marie Escobar Occupational Therapist 4110 Guadalupe St, Austin, TX 78751-4223 2020-03-14
1821636663 Victoria Freberg Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2019-12-11
1891272449 Vidisha Rohit Paranjpe Dietitian, Registered 4110 Guadalupe St, Austin, TX 78751-4223 2018-07-26
1205388337 Bayo Olaoye Nurse Practitioner 4110 Guadalupe St, Austin, TX 78751-4223 2016-10-24
1265807028 Ann Wilson Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2015-12-04
1447625298 Sara Jane Vershaw Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2015-12-04
1679947204 Escania Nichole Hoyt Registered Nurse 4110 Guadalupe St, Austin, TX 78751-4223 2015-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235657867 Joy Miller Social Worker 4920 N Ih 35 Suite 110, Austin, TX 78751 2017-09-04
1053859306 Metabolic Therapy Inc. Pharmacy 4103 Avenue D, Austin, TX 78751 2017-02-07
1316390438 Hillary Guest Speech-Language Pathologist 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 2016-07-14
1891151866 Simonek Vision, Pllc Optometrist 1000 E. 41st Street, Suite 120, Austin, TX 78751 2016-01-06
1750771911 Angela Ziskis Psychologist 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 2015-01-27
1750783841 Lizette Araujo Psychologist 5225 North Lamar Blvd., Austin, TX 78751 2014-09-19
1013323724 Matrix Therapy, LLC Clinic/Center 5204 Avenue F, Austin, TX 78751 2014-07-02
1215281738 Elizabeth Ann White Clinical Nurse Specialist 818 East 53rd Street, Austin, TX 78751 2012-11-06
1619259934 Samir K Momin Dentist 1000 E 41st Street, Suite 230, Austin, TX 78751 2011-09-13
1467740753 Gary G. Plakias Technician, Other 5400 N Lamar Blvd, 206b, Austin, TX 78751 2011-07-20
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669900833 Samantha Marie Vogel Pharmacist 1301 W 38th St Ste 700, Austin, TX 78705-1016 2017-05-31
1053761676 Nina Vadiei Pharmacist 3400 Harmon Ave Apt 469, Austin, TX 78705-2375 2016-06-14
1407106750 Morgan Snyder Pharmacist 7603 Eastcrest Dr, Austin, TX 78752-1409 2012-09-13
1134407802 Tawny Smith Pharmacist 3501 Mills Ave, Austin, TX 78731-6309 2011-07-29
1417070194 Stacy Catherine Mendelson Pharmacist 9900 Spectrum Dr, Austin, TX 78717-4555 2007-04-09
1003813031 Terry Lynn Green-witty Pharmacist 3501 Mills Ave, Austin, TX 78731-6309 2005-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336341254 Jerry Wade Lee Pharmacist 1950 Aspen, Lubbock, TX 79403 2007-06-04
1104047364 Ronald Leon Thomas Pharmacist 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 2007-05-02
1184717688 Crystal Henderson Pharmacist 1001 Lake Carolyn Pkwy Apt 516, Irving, TX 75039-4816 2006-10-02
1174513972 Catherine Susan Hall Pharmacist 325 Wallace St, Seguin, TX 78155-5959 2005-10-24
1013902519 Leah B Nunez Pharmacist 1401 S Rangerville Rd, Harlingen, TX 78552-7638 2005-09-12
1740281716 Mishelle R Seiler Pharmacist 8720 Country Glen Xing, Plano, TX 75024-3780 2005-08-02
1427058346 Delphina Chikamele Mitima-samuel Pharmacist 9727 Mckinney Ln, Missouri City, TX 77459 2005-07-21
1568460202 Lawrence J Cohen Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2005-07-07
1386641017 Jennifer D. Faulkner Pharmacist 1901 Veterans Memorial Dr, Mhc 116, Temple, TX 76504-7451 2005-07-07
1609873694 William Henry Benefield Jr. Pharmacist 4502 Meredith Woods St, San Antonio, TX 78249-1410 2005-07-05
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Competitor

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City AUSTIN
Zip Code 78751

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Dataset Information

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.

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