Individual provider Active NPI

Lisa Edwards, WHNP, CNM

  • Women's Health Nurse Practitioner
  • Brighton, MI
National Provider Identifier
1124250709
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704200888 Issued in MI
Practice address
315 E Grand River Ave Ste 2
Brighton, MI 48116-1513
Phone
(248) 982-3548
Fax
(810) 775-1105
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704200888 MI Primary
Advanced Practice Midwife 367A00000X 4704200888 MI

Addresses

Primary practice location

315 E Grand River Ave Ste 2
Brighton, MI 48116-1513

Mailing address

315 E Grand River Ave Ste 2
Brighton, MI 48116-1513
Phone (248) 982-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704200888MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Sanjaghsaz DO,PC PastSince Mar 1, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1124250709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E GRAND RIVER AVE STE 2",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161513",
            "telephone_number": "248-982-3548",
            "fax_number": "810-775-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E GRAND RIVER AVE STE 2",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161513",
            "telephone_number": "248-982-3548",
            "fax_number": "810-775-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LISA",
        "credential": "WHNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704200888",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704200888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.