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LISA MARIE MCENULTY AAS
NPI 1619523438
Specialist in Fairbanks, AK

Active since August 16, 2019
1027 EVERGREEN ST, FAIRBANKS, AK 99709(907) 451-8164(907) 451-0273 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Mcenulty Aas NPPES

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

LISA MARIE MCENULTY AAS (NPI 1619523438) is an individual specialist in Fairbanks, Alaska and active in the NPI registry since August 2019. She maintains a secondary practice location in Fairbanks.

NPPES Registry Identity

NPI1619523438
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA MARIE MCENULTYCredential: AAS
Location Address1027 EVERGREEN STFairbanks, AK 99709-4306
Mailing Address1041 Kellum St Apt D305Fairbanks, AK 99701-4396 · (907) 687-7966
Phone(907) 451-8164
Fax(907) 451-0273
Sole ProprietorNo
Enumeration DateAugust 16, 2019
✔ NPI 1619523438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1027 EVERGREEN ST, Fairbanks, AK 99709
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Secondary Practice Location 1

Location 13100 S Cushman StFairbanks, AK 99701-7516 · Phone (907) 452-6251 ext. 6446 · Fax (907) 456-4849

Other Providers at the Same Location NPPES 14

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

SHARON CARRASQUILLO TORRES AAS, CDC CT
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
MRS. KATHLEEN KETZLER DEMIENTIEFF T.C., C.D.C.1
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
BRIAN HUGHES
Counselor
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
FRANCINA M RAINES
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
BRITTANY LAWSON
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
DOROTHY LOAIZA
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164
JESSICA R HEDGE ICADC, CRADC, CDCS
Counselor (Addiction (Substance Use Disorder))
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (079) 451-8164
FAIRBANKS NATIVE ASSOCIATION
Substance Abuse Rehabilitation Facility
1027 EVERGREEN ST
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 451-8164

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 Mcenulty's NPI number?

The NPI number for Lisa Mcenulty is 1619523438. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Lisa Mcenulty located?

Lisa Mcenulty practices at 1027 Evergreen St, Fairbanks, AK 99709. The listed phone number is (907) 451-8164.

What is Lisa Mcenulty's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Mcenulty was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.