Lisa Stevens, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

164 Issued in NC

Practice address

10 Sunnybrook Rd
Raleigh, NC 27610-1808

Phone

(919) 212-7000

NPI assigned

Jun 29, 2006

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• County of Wake

  dba Wake County Human Services (MH DD Sa)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
  • NPI 1295761617
  Medicare reassignment NPD
• County of Wake

  dba Wake County Health Dept

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
  • NPI 1801957576
  NPD
• County of Wake

  dba Wake County EMS

  • Land Ambulance
  • Raleigh, NC
  • NPI 1922098029
  NPD
• Appalachian Regional Medical Associates, Inc.

  dba Appalachian Gastroenterology

  • Family Medicine Physician
  • Boone, NC
  • NPI 1669533923
  NPD (past)
• Catawba Valley Medical Center

  • Health Educator
  • Hickory, NC
  • NPI 1518524818
  NPD (past)
• Catawba Valley Medical Center

  dba Catawba Valley Hospitalists

  • Hospitalist Physician
  • Hickory, NC
  • NPI 1639123979
  NPD (past)
• Obstetrics and Gynecology Associates of the Eastern Shore, Inc.

  • Obstetrics & Gynecology Physician
  • Nassawadox, VA
  • NPI 1316975113
  NPD (past)
• Obstetrics and Gyneocology Associates of the Eastern Shore, Inc.

  • Obstetrics & Gynecology Physician
  • Parksley, VA
  • NPI 1548488638
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1215965074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101808",
            "telephone_number": "919-212-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101808",
            "telephone_number": "919-212-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723602",
            "country_code": "US",
            "telephone_number": "910-640-6615",
            "fax_number": "910-640-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LISA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024166990",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10012208M",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010293821",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "018694O45",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C02245",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "210104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CN3911",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen R Stevens, MA, LPA
• Kelly Ann Stevens
• Kristine Carlyle Stevens, PA-C
• Lauren Stevens
• Leah Gene Stevens, CCC-SLP
• Susan Stevens
• Susan Amanda Stevens
• Sydney Marie Stevens
• Tanya Stevens
• Sarah M Stevenson

• Advanced Practice Midwife in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Advanced Practice Midwife in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.