Active NPI
Lisa Bookert Cross, MD
- Family Medicine Physician
- Raleigh, NC
National Provider Identifier
1194857763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30780
- Practice address
- 1421 E Lane St
Raleigh, NC 27610-2323 - Phone
- (919) 218-0560
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30780 | NC | Primary |
Addresses
Primary practice location
1421 E Lane St
Raleigh, NC 27610-2323
Mailing address
1421 E Lane St
Raleigh, NC 27610-2323
Phone (919) 218-0560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16757 | Other | NC | BLUE CROSS |
| 8916757 | Medicaid | NC |
Other names 1
- Lisa M Bookert
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30780 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Past | 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.
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1194857763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 E LANE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102323",
"telephone_number": "919-218-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E LANE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102323",
"telephone_number": "919-218-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "LISA",
"middle_name": "BOOKERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "30780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "16757",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8916757",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BOOKERT",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.