LISA M. WATSON (NPI# 1982797254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982797254 |
| Entity Type | Individual |
| Full Name | LISA M. WATSON |
| Practice Address |
1506 W Reynolds St Pontiac IL 61764 |
| Practice Telephone | 8158446123 |
| Practice Fax Number | 8158447851 |
| Mailing Telephone | 8158446123 |
| Mailing Fax Number | 8158447851 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2011-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 041217560/209002 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197176 | Lisa Ervin Watson | Speech-Language Pathologist | 6016 Providence Rd, Virginia Beach, VA 23464-3807 | 2018-03-13 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1457700312 | Lisa Watson | Counselor | 304 Olson Dr Ste 115, Papillion, NE 68046-2979 | 2016-06-10 |
| 1548658859 | Lisa Watson | Occupational Therapy Assistant | 5426 Homeside Ave, Los Angeles, CA 90016-3712 | 2015-01-08 |
| 1821323486 | Lisa Ann Watson | Speech-Language Pathologist | 4407 N Division St Ste 304, Spokane, WA 99207-1613 | 2009-10-14 |
| 1669609764 | Lisa Marie Watson | Case Manager/Care Coordinator | 1425 W. Main Street, Walnut Ridge, AR 72476-1431 | 2009-06-16 |
| 1548432594 | Lisa Ann Watson | Speech-Language Pathologist | 6902 Pine Dr, Paragould, AR 72450-8539 | 2008-03-31 |
| 1164576773 | Lisa Watson | Speech-Language Pathologist | 405 8th Ave Sw, Mandan, ND 58554-4030 | 2007-01-22 |
| 1396206678 | Lisa M Watson | Nurse Practitioner | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2019-03-28 |
| 1568937167 | Lisa Watson | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2018-10-10 |
| Street Address |
1506 W REYNOLDS ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823556 | Sharon R. Wissler | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-06-01 |
| 1427661552 | Gloria Ann Przygoda | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2020-08-28 |
| 1407335854 | Crystal Ann Cargill | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2018-08-07 |
| 1154558732 | Calvin Moy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2009-06-22 |
| 1013144021 | Lacey Dively Moy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2009-06-17 |
| 1104087394 | Tom Murphy | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764-9674 | 2008-06-19 |
| 1700966116 | Angelito Fernandez | Family Medicine | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1174043020 | Dawn Marie Daniels | Nurse Practitioner | 461 W Huron St Ste 406, Pontiac, MI 48341-1601 | 2017-06-22 |
| 1700061231 | Lisa Morris | Nurse Practitioner | 461 W Huron St Fl 4, Pontiac, MI 48341-1601 | 2008-01-03 |
| 1700823556 | Sharon R. Wissler | Nurse Practitioner | 1506 W Reynolds St, Pontiac, IL 61764 | 2006-06-01 |
| 1649245010 | Christy Marie Thallman | Nurse Practitioner | 1200 N Telegraph Rd, Bldg. 32e, Pontiac, MI 48341-1032 | 2006-02-21 |
| 1598364911 | Briahnnon Long | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-10-19 |
| 1699325514 | Brittany Nicole Bursott | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-09-12 |
| 1598324048 | Alexandria Pawlusiak | Nurse Practitioner | 44200 Woodward Ave Ste 209, Pontiac, MI 48341-5045 | 2019-06-09 |
| 1912561960 | Tessa Claire Hayes | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-04-25 |
| 1003370982 | Cheryl Hansen | Nurse Practitioner | 700 W Lincoln St, Pontiac, IL 61764-2323 | 2019-01-25 |
| Find all providers in PONTIAC | ||||
Please comment or provide details below to improve the information on LISA M. WATSON.
| 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.