Active NPI
Lisa M Carter, ARNP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1194722421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 28158514A
- Practice address
- 641 Lexington Ave
New York, NY 10022-4503 - Phone
- (646) 888-0100
- NPI assigned
- Jul 1, 2005
- Last updated
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4352P | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | F309132 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 4352P | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 28158514A | IN | Primary |
Addresses
Primary practice location
641 Lexington Ave
New York, NY 10022-4503
Mailing address
641 Lexington Ave
New York, NY 10022-4503
Other names 1
- Lisa Carter-Harris
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4352P | KY | MD | Adult Health Nurse Practitioner |
| F309132 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Center of Southern Indiana, Inc. | Past | Accepting new patients | |
| Pain Management Center of Southern Indiana | Past | Accepting new patients | |
| Advanced Healthcare Associates LLP | Adult Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
Adult Health
-
- Pain Medicine Physician
- New Albany, IN
- NPI 1720222862
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1629063797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1194722421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224503",
"telephone_number": "646-888-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "LISA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "4352P",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309132",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "4352P",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28158514A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "CARTER-HARRIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.