DANIELLE LISNOCK (NPI# 1932610425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932610425 |
| Entity Type | Individual |
| Full Name | DANIELLE LISNOCK |
| Credential | PA-C |
| Practice Address |
20250 Vandegrift Blvd Fpo AP 92058 |
| Mailing Address |
104 Hilltop Rd Hazleton PA 18201-5649 |
| Practice Telephone | 5705827838 |
| Practice Fax Number | 5705827838 |
| Mailing Telephone | 5705827838 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54934 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT BOARD | 54934 | 01 |
| Street Address |
20250 VANDEGRIFT BLVD |
| City | FPO |
| State | AP |
| Zip Code | 92058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864818 | Hannah Marie Mcgrath | Physician Assistant | Psc 817 Box 481, Fpo, AE 09622-0005 | 2020-02-23 |
| 1396384293 | Lindsay G Weyand | Physician Assistant | 3d Law Enforcement Bn, Unit 35902, Fpo, AP 96385-5902 | 2019-12-26 |
| 1578107702 | Anna Margaret Van Eerden | Physician Assistant | Attn: Medical Staff Serv Bldg 2238, Box Number 555221, Camp Pendleton, Ca, Fpo, AA 92055-5221 | 2019-10-31 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1194236455 | Keegan Patrick Fees | Physician Assistant | 3rd Medical Battalion, Unit 38445, Fpo, AP 96373-8445 | 2017-10-13 |
| 1437593209 | Blaed Jacob Gerhart | Physician Assistant | 1 Farenholt St, Bldg K-1, Fpo, AP 96538 | 2013-04-24 |
| 1124362991 | Megan Challacombe | Physician Assistant | Uss Harry S Truman Cvn75, Unit 100255 Box2720, Fpo, AE 09524 | 2012-11-19 |
| 1568776458 | Nathan William Sims | Physician Assistant | Psc 477, Box 2, Fpo, AP 96306-1602 | 2010-08-03 |
| 1326362203 | Matthew Evan Milstein | Physician Assistant | Psc 475 Box 1668, Box 1668, Fpo, AP 96350-1668 | 2010-03-21 |
| 1538499918 | Douglas Wayne Steinmetz | Physician Assistant | Uss Ashland Lsd 48, Fpo, AE 09564-1736 | 2010-01-06 |
| Find all providers in FPO | ||||
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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.