Individual provider Active NPI

Lisa C Morere, APRN

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1184819088
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5003375 Issued in NC
Practice address
20 Duke Medicine Cir
Durham, NC 27710-0001
Phone
(919) 684-5301
Fax
(919) 684-6674
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024169504 VA
Adult Health Nurse Practitioner 363LA2200X 3651 SC
Adult Health Nurse Practitioner 363LA2200X 084951-23 NH
Adult Health Nurse Practitioner 363LA2200X 5003375 NC Primary

Addresses

Primary practice location

20 Duke Medicine Cir
Durham, NC 27710-0001

Mailing address

20 Duke Medicine Cir
Durham, NC 27710-0001
Phone (919) 684-5301

Other practice location 1

7901 Lake Manassas Dr
Gainesville, VA 20155-3257
Phone (571) 222-2200

Other practice location 2

3915 Talbot Rd S Ste 300
Renton, WA 98055-5738
Phone (425) 690-3409

Other names 1

  • Lisa Kathleen Colosimo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20210720003469 NH Practitioner - Nurse Practitioner 8123187887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5003375NCMDAdult Health Nurse Practitioner
084951-23NHMDAdult Health Nurse Practitioner
0024169504VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Hematology & Oncology CurrentSince Jul 6, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 6, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 6, 2021 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: lcolosimo567240@direct.medicine.duke.edu

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1184819088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-5301",
            "fax_number": "919-684-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-5301",
            "fax_number": "919-684-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Lake Manassas Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553257",
            "country_code": "US",
            "telephone_number": "571-222-2200",
            "fax_number": "571-222-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Talbot Rd S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555738",
            "country_code": "US",
            "telephone_number": "425-690-3409",
            "fax_number": "425-690-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORERE",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024169504",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "3651",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "084951-23",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5003375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "COLOSIMO",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.