Lisa Evans Carson, NP
Individual provider Active NPI Nurse Practitioner · Webster, MA
NPI 1649244237 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1649244237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN181340 (MA)
- Practice address
- 336 Thompson Rd
Webster, MA 01570-1509 - Phone
- (508) 943-5224
- Fax
- (508) 949-2211
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131204000028 | MA | Practitioner - Nurse Practitioner | 3173609450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181340 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
336 Thompson Rd
Webster, MA 01570
Phone (508) 943-0382
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- lcarson22348@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN181340 | MA | |
| Nurse Practitioner | 363L00000X | RN181340 | MA | Yes |
Addresses
Primary practice location
336 Thompson Rd
Webster, MA 01570-1509
Mailing address
PO Box 415348
Boston, MA 02241-0001
Phone (800) 225-8885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0348091 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcarson22348@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Webster, MA
- Berlinda Brampah
- Paul Brodeur
- Matthew Brunelle
- Paul Alexander Budzyakiewicz
- Caring Hearts LLC
- Cekam, LLC
- Central Mass Health Systems
- Central Mass Health Systems
- Christopher House of Webster LP
- Natalia Ciecierski
All providers in Webster, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.