Lisa Darlene Washington-Mora, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

00224182287 Issued in VA

Practice address

1965 Emancipation Hwy
Fredericksburg, VA 22401-6213

Phone

(540) 735-0560

Fax

(540) 735-0567

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, VA
  • NPI 1730377706
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1083387500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 EMANCIPATION HWY STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560",
            "fax_number": "540-735-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 EMANCIPATION HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560",
            "fax_number": "540-735-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON-MORA",
        "first_name": "LISA",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "00224182287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Warne, PT ATC
• Desiree A Warner, OT
• Erika Warner, D.C.
• Shawnta Warren
• Sumyya Wase
• Dominque Washington
• Edith Raquel Washington
• Tyra Washington, LBA,BCBA
• Beth Ann Waters, LPC
• Kim Waters

• Psychiatric/Mental Health Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.