Individual provider Active NPI

Lisa Marie Garcia, ARNP

  • Advanced Practice Midwife
  • Richland, WA
National Provider Identifier
1073821740
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60599353 Issued in WA
Practice address
945 Goethals Drive
Suite 200
Richland, WA 99352
Phone
(509) 942-3627
Fax
(509) 942-2340
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP60599353 WA Primary
Family Nurse Practitioner 363LF0000X AP60182016 WA
Women's Health Nurse Practitioner 363LW0102X AP 60182016 WA
Registered Nurse 163W00000X RN60096672 WA

Addresses

Primary practice location

945 Goethals Drive
Suite 200
Richland, WA 99352

Mailing address

550 Gage Blvd
Ste 101
Richland, WA 99352-9532
Phone (509) 942-2555

Other identifiers 2

IdentifierTypeStateIssuer
1073821740MedicaidWA
0281423OtherWALABOR & INDUSTRIES

Other names 1

  • Lisa Marie Hamm Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgarcia1107294@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001378 WA Practitioner - Nurse Practitioner 4789854456 Reassigns benefits to 1 organization
I20151228001279 WA Practitioner - Certified Nurse Midwife (CNM) 4789854456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

945 Goethals Dr
Richland, WA 99352-3552
Phone (509) 942-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN60096672WAMDRegistered Nurse
AP60182016WAMDFamily Nurse Practitioner
AP 60182016WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Nov 1, 2015 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 1, 2013 Accepting new patients

Locations

560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3135

550 Gage Blvd
Ste 101
Richland, WA 99352

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

945 Goethals Dr
Ste 210
Richland, WA 99352
Phone (509) 946-5512

945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555

969 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 713-1315

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

780 Swift Blvd
Ste 130
Richland, WA 99352
Phone (509) 942-3244

900 Stevens Dr
Ste 203
Richland, WA 99352
Phone (509) 942-2555

Interoperability endpoints

  • Direct secure messaging: lgarcia1107294@wm.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1073821740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD",
            "address_2": "STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-2555",
            "fax_number": "509-942-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 GOETHALS DRIVE",
            "address_2": "SUITE 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60599353",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60182016",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP 60182016",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60096672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073821740",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0281423",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgarcia1107294@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "945 Goethals Drive",
            "address_2": "Suite 200",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HAMM",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.