Active NPI
Lisa Buffaloe Fields, MSN, RN, CNS,
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Youngsville, NC
National Provider Identifier
1396889424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 116174
- Practice address
- 1618 US 1 Hwy
Youngsville, NC 27596-9219 - Phone
- (919) 562-9922
- Fax
- (919) 562-9917
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 116174 | NC | Primary |
Addresses
Primary practice location
1618 US 1 Hwy
Youngsville, NC 27596-9219
Mailing address
1618 US 1 Hwy
Youngsville, NC 27596-9219
Phone (919) 562-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004057 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080721000094 | NC | Practitioner - Certified Clinical Nurse Specialist (CNS) | 2062585367 | Practice locations: Youngsville, NC; Raleigh, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8300 Health Park
Suite 201
Raleigh, NC 27615-4731
Phone (919) 671-1528
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1396889424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275969219",
"telephone_number": "919-562-9922",
"fax_number": "919-562-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 US 1 HWY",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275969219",
"telephone_number": "919-562-9922",
"fax_number": "919-562-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "LISA",
"middle_name": "BUFFALOE",
"credential": "MSN, RN, CNS,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NC",
"license": "116174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004057",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.