Lisa Jo Roberts, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024158784 Issued in VA

Practice address

18 Haggerty Lane
Suite 103
Staunton, VA 24401

Phone

(540) 414-8585

Fax

(540) 414-8597

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 6, 2013 through Jun 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1164413712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAGGERTY LANE",
            "address_2": "SUITE 103",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-414-8585",
            "fax_number": "540-414-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAGGERTY LANE",
            "address_2": "SUITE 103",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-414-8585",
            "fax_number": "540-414-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024158784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010089832",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rizzo Health Solutions, LLC
• Joseph S. Rizzo, D.C.
• Amelia Robacker
• Jeffery Kenneth Robbins, FNP-C
• Georgia Leigh Roberts, RPH
• Mark Roberts, PA
• Mark A Robertson, RPH
• Sara Robertson
• Celeen Robinson-Walsh, PMHNP
• Katherine Louise South Robinson, EDD, BCBA-D, LBA

• Advanced Practice Midwife in Staunton, VA
• Providers in Staunton, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.