Individual provider Active NPI

Lisa Harris, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Newport News, VA
National Provider Identifier
1558500900
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
0101051061 Issued in VA
Practice address
2501 Marshall Ave Ste a
Newport News, VA 23607-4636
Phone
(757) 247-3910
Fax
(877) 991-9049
NPI assigned
Feb 9, 2009
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 0101051061 VA Primary

Addresses

Primary practice location

2501 Marshall Ave Ste a
Newport News, VA 23607-4636

Mailing address

2501 Marshall Ave Ste a
Newport News, VA 23607-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200501000789 VA Practitioner - Addiction MedicinePractitioner - General Practice 7214367499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Hahnemann University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

6212 Jefferson Ave
Newport News, VA 23605-1500
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051061VAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Norfolk CurrentSince Jan 15, 2020 Accepting new patients
Recover Together, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Recover Together, LLC CurrentSince Oct 1, 2020 Accepting new patients
City of Norfolk PastSince Jan 15, 2020 Accepting new patients
Pediatrics & Internal Medicine Associates P C PastSince May 16, 2021 Accepting new patients
Pediatrics and Internal Medicine Associates, PC PastSince May 16, 2021 Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

6212 Jefferson Ave
Newport News, VA 23605

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

7460 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6670

7464 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6679

7464 Tidewater Dr
#C
Norfolk, VA 23505
Phone (757) 664-7690

280 Virginia Ave NE
Ste 104
Norton, VA 24273
Phone (276) 679-0321

Organizations & group practices 6

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1558500900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 MARSHALL AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074636",
            "fax_number": "877-991-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MARSHALL AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074636",
            "telephone_number": "757-247-3910",
            "fax_number": "877-991-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101051061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.