Individual provider Active NPI

Lisa Betina Uncles, CNM

  • Advanced Practice Midwife
  • Washington, DC
National Provider Identifier
1518039205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN1008706 Issued in DC
Practice address
801 17TH St NE
Washington, DC 20002-7200
Phone
(202) 398-5520
Fax
(202) 396-6953
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN1008706 DC Primary

Addresses

Primary practice location

801 17TH St NE
Washington, DC 20002-7200

Mailing address

259 Waxter Way
Baltimore, MD 21217-4142
Phone (202) 398-5520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000548 MD Practitioner - Certified Nurse Midwife (CNM) 3577720846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

12 Medstar Blvd
Ste 235
Bel Air, MD 21015
Phone (410) 877-8088

1576 Merritt Blvd
Ste 16
Dundalk, MD 21222
Phone (410) 650-2191

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9103 Franklin Square Dr
Ste 305
Rosedale, MD 21237
Phone (443) 777-7608

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518039205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 WAXTER WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174142",
            "telephone_number": "202-398-5520",
            "fax_number": "202-396-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 17TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027200",
            "telephone_number": "202-398-5520",
            "fax_number": "202-396-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNCLES",
        "first_name": "LISA",
        "middle_name": "BETINA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1008706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.