Individual provider Active NPI

Lisa Diane Carboni, CRNP

  • Family Nurse Practitioner
  • Alabaster, AL
National Provider Identifier
1114652989
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-106255 Issued in AL
Practice address
1909 Highway 87
Alabaster, AL 35007-5007
Phone
(205) 685-5460
Fax
(262) 236-4074
NPI assigned
Jul 18, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-106255 AL Primary
Lactation Consultant (Registered Nurse) 163WL0100X 1-106255 AL

Addresses

Primary practice location

1909 Highway 87
Alabaster, AL 35007-5007

Mailing address

1909 Highway 87
Alabaster, AL 35007-5007
Phone (205) 746-0877

Other practice location 1

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone (205) 726-2835

Other identifiers 1

IdentifierTypeStateIssuer
830665500MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003619 AL Practitioner - Family Practice 8921514126 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-106255ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhelp Shelby, LLC CurrentSince Jul 1, 2025 Accepting new patients
Med Help PC CurrentSince Jul 1, 2025 Accepting new patients
Med Help 280 LLC CurrentSince Jul 1, 2025 Accepting new patients
Central Alabama Lactation Services, LLC Lactation Consultant PastSince Jul 1, 2022 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

Interoperability endpoints

  • Direct secure messaging: lisa.carboni.3@17217.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1114652989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HIGHWAY 87",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350075007",
            "telephone_number": "205-746-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HIGHWAY 87",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350075007",
            "telephone_number": "205-685-5460",
            "fax_number": "262-236-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Lakeshore Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352097271",
            "country_code": "US",
            "telephone_number": "205-726-2835",
            "fax_number": "205-408-9931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONI",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-106255",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AL",
            "license": "1-106255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830665500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.