Individual provider Active NPI

Lisa Harnum, M.D.

  • Pediatrics Physician
  • Culpeper, VA
National Provider Identifier
1316916851
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101043994 Issued in VA
Practice address
15237 Creativity Dr
Culpeper, VA 22701
Phone
(540) 321-4281
Fax
(540) 321-4282
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101043994 VA Primary

Addresses

Primary practice location

15237 Creativity Dr
Culpeper, VA 22701

Mailing address

PO Box 21975
Belfast, ME 04915-4116
Phone (540) 321-4281

Other practice location 1

10623 Crestwood Dr
Manassas, VA 20109-3433
Phone (703) 361-7131

Other practice location 2

2503 S Seminole Trl
Madison, VA 22727-2690
Phone (540) 948-6871

Other practice location 3

541 Sunset Ln Ste 301
Culpeper, VA 22701-3979
Phone (540) 825-4557

Other identifiers 1

IdentifierTypeStateIssuer
1316916851MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001025 VA Practitioner - Pediatric Medicine 0547672867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101043994VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Nov 7, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2020 Accepting new patients
Trusted Doctors LLC Pediatrics Past Accepting new patients
The Nemours Foundation Past Accepting new patients
Crestwood Pediatric Associates PC Pediatrics Past Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

2503 S Seminole Trl
Madison, VA 22727
Phone (540) 672-3010

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: lharnum5071@direct.nemours.org

Organizations & group practices 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1316916851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21975",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154116",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15237 CREATIVITY DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10623 Crestwood Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201093433",
            "country_code": "US",
            "telephone_number": "703-361-7131",
            "fax_number": "703-330-2065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 S Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "VA",
            "postal_code": "227272690",
            "country_code": "US",
            "telephone_number": "540-948-6871",
            "fax_number": "540-948-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARNUM",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101043994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316916851",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.