Active NPI
Alisa R Lancaster, MD
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1376580977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Practice address
- 100 Cornerstone Dr
Cary, NC 27519-8453 - Phone
- (919) 460-0993
- Fax
- (919) 481-3952
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NC | Primary |
Addresses
Primary practice location
100 Cornerstone Dr
Cary, NC 27519-8453
Mailing address
5400 Trinity Rd
Ste 105
Raleigh, NC 27607-6001
Phone (919) 851-2174
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7950670 | Medicaid | NC | |
| 50670 | Other | NC | BCBS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0095-00486 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376580977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 TRINITY RD",
"address_2": "STE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076001",
"telephone_number": "919-851-2174",
"fax_number": "919-854-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORNERSTONE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275198453",
"telephone_number": "919-460-0993",
"fax_number": "919-481-3952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "ALISA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7950670",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50670",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.