Active NPI
Lisa R Hunter, CPNP
- Pediatric Nurse Practitioner
- Glenn Dale, MD
National Provider Identifier
1447221171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN47313
- Practice address
- 12150 Annapolis Rd Ste 208
Glenn Dale, MD 20769-9183 - Phone
- (301) 218-0398
- NPI assigned
- Jan 31, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN47313 | DC | Primary |
Addresses
Primary practice location
12150 Annapolis Rd Ste 208
Glenn Dale, MD 20769-9183
Mailing address
8900 Tuckaway CT
Fort Washington, MD 20744-6755
Phone (301) 839-6061
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN47313 | DC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Children Health Center | Past | Accepting new patients | |
| Maryland Children Health Center | Past | Accepting new patients | |
| Washington Pediatric Assoc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16549/brand/1/csg/1/fhir/r4
- lisa.hunter.1@16549.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Mary Ogunsanya MD FAAP Maryland Children Health Center
- Primary Care Clinic/Center
- Oxon Hill, MD
- NPI 1225872740
-
- Primary Care Clinic/Center
- Glenn Dale, MD
- NPI 1558635235
-
- Pediatrics Physician
- Washington, DC
- NPI 1093773251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1447221171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 TUCKAWAY CT",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207446755",
"telephone_number": "301-839-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 ANNAPOLIS RD STE 208",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699183",
"telephone_number": "301-218-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "LISA",
"middle_name": "R",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DC",
"license": "RN47313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenn Dale, MD
- Sharon Evette Hawks, M.S, RD, LDN, CDE
- Health Seekers Medical Clinic LLC
- Walter Henry III
- Henry's Home Healthcare Services
- Janileidy Hilario Paula
- Sarah Marie Hyde, SLP
- Olayinka Abimbola Ibitoye, NP
- Inclusive Health Corporation
- No Given Name Ivo Acha Keyaka
- J.M.J Health Care Servics, LLC (J.M.J Health Care Services, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.