Individual provider Active NPI

Lisa Ann Burnette, CNM

  • Advanced Practice Midwife
  • Greenville, NC
National Provider Identifier
1144976937
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
926 Issued in NC
Practice address
2160 Herbert CT
Greenville, NC 27834-3736
Phone
(252) 744-3850
Fax
(252) 744-3894
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 926 NC Primary
Family Nurse Practitioner 363LF0000X 5015860 NC

Addresses

Primary practice location

2160 Herbert CT
Greenville, NC 27834-3736

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other practice location 1

8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872
Phone (704) 997-6530

Other practice location 2

2251 Stantonsburg Rd
Greenville, NC 27834-2841
Phone (252) 757-3131

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lburnette485262@direct.ecuhealth.com Health Information Exchange (HIE)
Direct Messaging Address lisa@carolinaagemanagement.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920003240 NC Practitioner - Certified Nurse Midwife (CNM) 1355882036 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
926NCMDMental Health Counselor
5015860NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, P.a. CurrentSince Jul 9, 2024 Accepting new patients
Physicians East, PA CurrentSince Jul 9, 2024 Accepting new patients
Physicians East PA Past Accepting new patients

Locations

2251 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 757-3131

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

101 Bethesda Dr
Greenville, NC 27834
Phone (252) 758-4164

Interoperability endpoints

  • Direct secure messaging: lisaburnette@pepa.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1144976937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 HERBERT CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343736",
            "telephone_number": "252-744-3850",
            "fax_number": "252-744-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8712 Lindholm Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280781872",
            "country_code": "US",
            "telephone_number": "704-997-6530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342841",
            "country_code": "US",
            "telephone_number": "252-757-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "926",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lburnette485262@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2160 Herbert Ct",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278343736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@carolinaagemanagement.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8712 Lindholm Dr Ste 302",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280781872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.