Active NPI
Lisa R Lafata
- Family Nurse Practitioner
- Mount Olive, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007011
- Practice address
- 325 NC Highway 55 W
Mount Olive, NC 28365-8527 - Phone
- (919) 658-5900
- Fax
- (910) 267-8981
- NPI assigned
- Jul 21, 2014
- Last updated
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5007011 | NC | Primary |
Addresses
Primary practice location
325 NC Highway 55 W
Mount Olive, NC 28365-8527
Mailing address
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 658-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1298 N Main St
Fuquay Varina, NC 27526-2615
Phone (919) 590-4099
325 NC Hwy 55 W
Mount Olive, NC 28365-8527
Phone (919) 658-5900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007011 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| American Family Care Fuquay PLLC | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
1298 N Main St
Fuquay Varina, NC 27526
Phone (919) 590-4099
104 Adair Dr
Goldsboro, NC 27530
Phone (919) 648-4435
325 NC Highway 55 W
Mount Olive, NC 28365
Phone (919) 658-5900
Interoperability endpoints
- lisa.lafata.1@14940.direct.athenahealth.com
- llafata@goshenmedical.cloudcraftdirect.com
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.
-
dba American Family Care
- Urgent Care Clinic/Center
- Fuquay Varina, NC
- NPI 1770135808
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
dba Goshen Medical Center - Clinton Mobile Unit
- Federally Qualified Health Center (FQHC)
- Clinton, NC
- NPI 1073638557
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
dba Goshen Medical Center - Mount Olive Mobile Unit
- Federally Qualified Health Center (FQHC)
- Mount Olive, NC
- NPI 1700901287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1639586704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-658-5900",
"fax_number": "910-267-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NC HIGHWAY 55 W",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283658527",
"telephone_number": "919-658-5900",
"fax_number": "910-267-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFATA",
"first_name": "LISA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.