Individual provider Active NPI

Lisa Davey Ahava, PA

  • Physician Assistant
  • Chesterfield, NH
National Provider Identifier
1487693453
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2937 Issued in NH
Practice address
745A Route 63
Chesterfield, NH 03443
Phone
(603) 363-4469
NPI assigned
Jun 5, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00393 RI
Physician Assistant 363A00000X 2937 NH Primary

Addresses

Primary practice location

745A Route 63
Chesterfield, NH 03443

Mailing address

10 Davol SQ Ste 400
Providence, RI 02903-4752
Phone (401) 421-4000

Other practice location 1

1598 S County Trl Ste 201
East Greenwich, RI 02818-1762
Phone (401) 884-0333

Other identifiers 3

IdentifierTypeStateIssuer
9004760MedicaidRI
T401229991OtherNHMEDICARE
9790047601OtherRIMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lahava221063@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401002510 NH Practitioner - Physician Assistant 2365453446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Chesterfield LLCGroup PAC ID 4587825252, 2 clinicians

Practice addresses (Care Compare)

745A Route 63
Chesterfield, NH 03443-3604
Phone (800) 303-8984

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2937NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Dermatology Associates of the Northeast, PC Past Accepting new patients

Locations

1598 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 884-0333

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

Interoperability endpoints

  • Direct secure messaging: lahava221063@brownhealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1487693453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745A ROUTE 63",
            "city": "CHESTERFIELD",
            "state": "NH",
            "postal_code": "03443",
            "telephone_number": "603-363-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1598 S County Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181762",
            "country_code": "US",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHAVA",
        "first_name": "LISA",
        "middle_name": "DAVEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00393",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004760",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "T401229991",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9790047601",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lahava221063@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "1598 S County Trl Ste 201",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028181762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, NH

Sources for this page

Verify at the official NPI Registry.