Individual provider Active NPI

Lisa Kathryn Roseberry, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, NH
National Provider Identifier
1588910129
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
051227-23 Issued in NH
Practice address
408 Lafayette Rd
Hampton, NH 03842-2222
Phone
(603) 601-3989
Fax
(603) 601-3989
NPI assigned
Aug 1, 2012
Reactivated
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN204517 MA
Family Nurse Practitioner 363LF0000X 051227-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 051227-23 NH Primary

Addresses

Primary practice location

408 Lafayette Rd
Hampton, NH 03842-2222

Mailing address

408 Lafayette Rd
Hampton, NH 03842-2222
Phone (603) 601-3989

Other identifiers 1

IdentifierTypeStateIssuer
3106269MedicaidNH

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
I20161130000495 NH Practitioner - Nurse Practitioner 2365695160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

100 Eileen Dondero Foley Ave
Suite 302
Portsmouth, NH 03801-4597
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN204517MAMDNurse Practitioner
051227-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Solutions LLC CurrentSince Mar 1, 2020 Accepting new patients
The Counseling Center of Nashua Inc CurrentSince May 5, 2025 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

408 Lafayette Rd
Hampton, NH 03842
Phone (603) 601-3989

100 Eileen Dondero Foley Ave
Ste 302
Portsmouth, NH 03801
Phone (603) 427-6868

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lisaroseberry@140126.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1588910129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 LAFAYETTE RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422222",
            "telephone_number": "603-601-3989",
            "fax_number": "603-601-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LAFAYETTE RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422222",
            "telephone_number": "603-601-3989",
            "fax_number": "603-601-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "LISA",
        "middle_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "deactivation_date": "2020-10-14",
        "reactivation_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN204517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "051227-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "051227-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106269",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.