Lisa Jesaitis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN66952 Issued in DC

Practice address

3800 Reservoir Rd NW # Main4412
Washington
Washington, DC 20007-2113

Phone

(202) 444-2062

NPI assigned

Apr 14, 2006

Last updated

Feb 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa Jaworski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1518921675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S ABINGDON ST",
            "address_2": "ARLINGTON",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041335",
            "telephone_number": "571-331-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW # MAIN4412",
            "address_2": "WASHINGTON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESAITIS",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN66952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410337800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037747100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JAWORSKI",
            "credential": "ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alberto Jeronimo, MD
• Jerry Allison Snow MD PC
• Jerry's Caring Hands Incorporation
• Jes LLC
• Jes LLC
• Noel Jesin
• Laura E Jeske, RD
• Zohaib Jessani, PHD
• Anna Jesseman, LICSW
• Jessica Osborn MD PLLC

• Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.