LISA NICOLE WACKERMAN RN
NPI 1457961815
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Mariposa, CA

Active since July 31, 2020
6986 SCOTT RD, MARIPOSA, CA 95338(209) 966-7095 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Nicole Wackerman Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA NICOLE WACKERMAN RN (NPI 1457961815) is an individual psychiatric/mental health, child & adolescent provider in Mariposa, California, licensed in California (RN95201290) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1457961815
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameLISA NICOLE WACKERMANCredential: RN
Location Address6986 SCOTT RDMariposa, CA 95338-9639
Mailing AddressPo Box 2308Mariposa, CA 95338-2308
Sole ProprietorNo
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
NPI 1457961815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License Licensed in CA · RN95201290
6986 SCOTT RD, Mariposa, CA 95338

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
6986 SCOTT RD
MARIPOSA, CA 95338
Rehabilitation Practitioner
6986 SCOTT RD
MARIPOSA, CA 95338
Rehabilitation Practitioner
6986 SCOTT RD
MARIPOSA, CA 95338
Social Worker (Clinical)
6986 SCOTT RD
MARIPOSA, CA 95338
Registered Nurse
6986 SCOTT RD
MARIPOSA, CA 95338
Clinic/Center (Mental Health (Including Community Mental Health Center))
6986 SCOTT RD
MARIPOSA, CA 95338
Case Manager/Care Coordinator
6986 SCOTT RD
MARIPOSA, CA 95338
Case Manager/Care Coordinator
6986 SCOTT RD
MARIPOSA, CA 95338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wackerman's NPI number?

The NPI number for Lisa Wackerman is 1457961815. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Lisa Wackerman located?

Lisa Wackerman practices at 6986 Scott Rd, Mariposa, CA 95338. The listed phone number is (209) 966-7095.

What is Lisa Wackerman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Lisa Wackerman was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.