Individual provider Active NPI

Lisa Carol Greenacre, WHNP

  • Women's Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1376781013
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95015648 Issued in CA
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

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP6444AZMDWomen's Health Nurse Practitioner
95015648CAMDWomen's Health Nurse Practitioner
209008024ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.