LISA WALLACE (NPI# 1992368872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992368872 |
| Entity Type | Individual |
| Full Name | LISA WALLACE |
| Practice Address |
27777 Inkster Rd Farmington Hills MI 48334-5326 |
| Practice Telephone | 2482364400 |
| Mailing Telephone | 2482364400 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703086959 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368064 | Lisa Jean Wallace | Occupational Therapy Assistant | 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018 | 2020-05-28 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1710521968 | Lisa Anne Wallace | Counselor | 418 Barr Rd, Lexington, SC 29072-2363 | 2019-10-31 |
| 1598225930 | Lisa Buckner Wallace | Counselor | 3750 N Center St, Hickory, NC 28601-8089 | 2019-03-21 |
| 1235637182 | Lisa M. Wallace | Nurse Practitioner | 800 E Cheves St Ste 200, Florence, SC 29506-2651 | 2018-01-25 |
| 1134575475 | Lisa Wallace | Counselor | 14 Farmer Rd, Milton, MA 02186-3743 | 2016-05-05 |
| 1720476641 | Lisa Wallace | Registered Nurse | 7601 Hospital Dr Ste 202, Sacramento, CA 95823-5408 | 2014-12-30 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1124002571 | Lisa M Wallace | Counselor | 1807 Capitol Ave, Suite 101 A, Cheyenne, WY 82001-4544 | 2005-11-30 |
| 1003423658 | Lisa Carol Wallace | Nurse Practitioner | 2418 180th St, Allerton, IA 50008-8715 | 2020-09-28 |
| Street Address |
27777 INKSTER RD |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932350410 | Elena Esquibel | Case Manager/Care Coordinator | 27777 Inkster Rd, Farmington Hills, MI 48334 | 2008-10-02 |
| 1689275968 | Tina Do | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-11-04 |
| 1750982195 | Brandon Schnotala | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-11-03 |
| 1780285312 | Aleah Ramirez | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-11-02 |
| 1962002642 | Angel Le | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-30 |
| 1932709680 | Michaela Rowell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-30 |
| 1578163234 | Julie Swan | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-30 |
| 1821698747 | Allisan Reyes | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-29 |
| 1457950941 | Annaliza Boyce | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-26 |
| 1437759966 | Ceciley Rodriguez | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862639 | Michelle Spear | Licensed Practical Nurse | 30905 Leelane, Farmington Hills, MI 48336-2659 | 2018-05-24 |
| 1346744786 | Lafaye Simmons | Licensed Practical Nurse | 39201 Polo Club Dr Apt 201, Farmington Hills, MI 48335-5626 | 2018-03-21 |
| 1619483781 | Nubic Fosi | Licensed Practical Nurse | 24313 Pine Grove Ct, Farmington Hills, MI 48335-2314 | 2017-12-27 |
| 1982110672 | Chloe Heggs | Licensed Practical Nurse | 35749 N Grandview Ct, Farmington Hills, MI 48335-2414 | 2017-12-18 |
| 1396297115 | Nadia Marie Kimble | Licensed Practical Nurse | 26375 Halsted Rd Apt 131, Farmington Hills, MI 48331-3762 | 2016-10-27 |
| 1982153664 | Theresa Rogers | Licensed Practical Nurse | 27725 Cordoba, Farmington Hills, MI 48334-3973 | 2016-09-23 |
| 1376097550 | Alex Mosley | Licensed Practical Nurse | 35122 Meadow Ln, Farmington Hills, MI 48335-2534 | 2016-08-05 |
| 1053762609 | Mikyia Williams | Licensed Practical Nurse | 29358 Eldon St, Farmington Hills, MI 48336-2830 | 2016-06-24 |
| 1760837090 | Wanda Ray Grier | Licensed Practical Nurse | 22370 River Ridge Trl, Farmington Hills, MI 48335-4694 | 2016-04-23 |
| 1194185843 | Eugenia Smith | Licensed Practical Nurse | 29316 Glenbrook Dr, Farmington Hills, MI 48331-2383 | 2016-02-23 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.