Individual provider Active NPI

Lisa Lindstrom, N.P.

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1548690639
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1003666 Issued in DC
Practice address
1924 Savannah Ter SE Apt C
Washington, DC 20020-2148
Phone
(202) 923-8068
NPI assigned
Nov 26, 2013
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1003666 DC Primary

Addresses

Primary practice location

1924 Savannah Ter SE Apt C
Washington, DC 20020-2148

Mailing address

3729 N Pershing Dr
Arlington, VA 22203-3518
Phone (703) 408-1794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150317001998 DC Practitioner - Nurse Practitioner 2961729660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Concierge Care LLCGroup PAC ID 0648652487, 4 clinicians

Practice addresses (Care Compare)

676 Atlantic St SE
Washington, DC 20032-3737
Phone (202) 888-6440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Wellness LLC CurrentSince Nov 14, 2022 Accepting new patients
Community Concierge Care LLC Family CurrentSince Jan 1, 2025 Accepting new patients

Locations

1231 Marion Barry Ave SE
Washington, DC 20020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17816/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1548690639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 N PERSHING DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033518",
            "telephone_number": "703-408-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 SAVANNAH TER SE APT C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202148",
            "telephone_number": "202-923-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "LISA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1003666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.