Lisa Ann Rollin, RN
Individual provider Active NPI Health Educator · Green Lake, WI
NPI 1003684580 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1003684580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 571 County Road a
Green Lake, WI 54941-8630 - Phone
- (920) 294-4070
- Fax
- (920) 294-4139
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154768 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Green Lake | Health Educator | Current |
Accepting new patients |
| County of Green Lake | Current |
Accepting new patients |
Locations
571 County Road A
Green Lake, WI 54941
Phone (920) 294-4070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 154768 | WI | |
| Health Educator | 174H00000X | WI | Yes |
Addresses
Primary practice location
571 County Road a
Green Lake, WI 54941-8630
Mailing address
571 County Road a
Green Lake, WI 54941-8630
Phone (920) 294-4070
Other providers in Green Lake, WI
- Lauren Renee Olson
- Colleen Pomplun
- Eric G Ratering
- Danielle Marie Reysen
- Sara Rose Rhode
- Sandra Schwoerer
- Wesley A Shemanski
- Abby Noel Vogt
- Nichol Wienkes
- Thomas Rice Willett
All providers in Green Lake, WI · Health Educator in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.