Active NPI
Lisa Carol Greenacre, WHNP
- Women's Health Nurse Practitioner
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95015648
- Practice address
- 500 Broadway Ste 7
Santa Monica, CA 90401-2988 - Phone
- (323) 410-1291
- NPI assigned
- Feb 3, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP6444 | AZ | |
| Women's Health Nurse Practitioner | 363LW0102X | 209008024 | IL | |
| Women's Health Nurse Practitioner | 363LW0102X | 95015648 | CA | Primary |
Addresses
Primary practice location
500 Broadway Ste 7
Santa Monica, CA 90401-2988
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Other practice location 1
1585 N Barrington Rd Ste 401
Hoffman Estates, IL 60169-5020
Phone (847) 843-7090
Other practice location 2
6 Bronze Pointe S
Swansea, IL 62226-8307
Phone (314) 266-2062
Other practice location 3
2501 Compass Rd Ste 135
Glenview, IL 60026-8068
Phone (224) 404-2042
Other practice location 4
2172 Blackberry Dr Ste 204
Geneva, IL 60134-1106
Phone (815) 725-4341
Other practice location 5
2246 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 725-4161
Other practice location 6
1455 N Milwaukee Ave
Chicago, IL 60622-2015
Phone (773) 435-9036
Other practice location 7
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (773) 435-9029
Other practice location 8
4150 Regents Park Row Ste 321
LA Jolla, CA 92037-9124
Phone (619) 673-8658
Other practice location 9
4321 Birch St Ste 100
Newport Beach, CA 92660-1940
Phone (949) 432-7438
Other practice location 10
4756 El Camino Real
Los Altos, CA 94022-1330
Phone (650) 445-4724
Other practice location 11
88 Sutter St
San Francisco, CA 94104-4900
Phone (628) 777-7064
Other practice location 12
1700 N Main St
Walnut Creek, CA 94596-4105
Phone (925) 322-2115
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP6444 | AZ | MD | Women's Health Nurse Practitioner |
| 95015648 | CA | MD | Women's Health Nurse Practitioner |
| 209008024 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fahimeh Sasan,D.O., P.C | Past | Accepting new patients | |
| Reena Jabamoni MDSC | Past | Accepting new patients | |
| Vios Fertility Institute Chicago | Past | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients | |
| Centers for Reproductive Medicine and Wellness, LLC | Past | Accepting new patients |
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.
-
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1891355863
-
- Reproductive Endocrinology Physician
- Swansea, IL
- NPI 1861857013
-
- Reproductive Endocrinology Physician
- Atlanta, GA
- NPI 1891390084
-
- Gynecology Physician
- Hoffman Estates, IL
- NPI 1649451394
-
- Reproductive Endocrinology Physician
- Chicago, IL
- NPI 1982059275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1376781013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S DESPLAINES ST STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BROADWAY STE 7",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012988",
"telephone_number": "323-410-1291"
}
],
"practiceLocations": [
{
"address_1": "1585 N Barrington Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601695020",
"country_code": "US",
"telephone_number": "847-843-7090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Bronze Pointe S",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622268307",
"country_code": "US",
"telephone_number": "314-266-2062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Compass Rd Ste 135",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600268068",
"country_code": "US",
"telephone_number": "224-404-2042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2172 Blackberry Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601341106",
"country_code": "US",
"telephone_number": "815-725-4341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2246 Weber Rd",
"address_purpose": "LOCATION",
"city": "Crest Hill",
"state": "IL",
"postal_code": "604030928",
"country_code": "US",
"telephone_number": "815-725-4161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606222015",
"country_code": "US",
"telephone_number": "773-435-9036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 S Desplaines St Ste 201",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606615514",
"country_code": "US",
"telephone_number": "773-435-9029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Regents Park Row Ste 321",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920379124",
"country_code": "US",
"telephone_number": "619-673-8658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4321 Birch St Ste 100",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926601940",
"country_code": "US",
"telephone_number": "949-432-7438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4756 El Camino Real",
"address_purpose": "LOCATION",
"city": "Los Altos",
"state": "CA",
"postal_code": "940221330",
"country_code": "US",
"telephone_number": "650-445-4724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88 Sutter St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941044900",
"country_code": "US",
"telephone_number": "628-777-7064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 N Main St",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945964105",
"country_code": "US",
"telephone_number": "925-322-2115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENACRE",
"first_name": "LISA",
"middle_name": "CAROL",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP6444",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209008024",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95015648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.