Individual provider Active NPI

Lisa Moore, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1689068751
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5007549 Issued in NC
Practice address
125 Oakmont Dr Ste A4
Greenville, NC 27858-5242
Phone
(252) 414-3318
Fax
(252) 677-6551
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193436 VA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 5007549 NC Primary

Addresses

Primary practice location

125 Oakmont Dr Ste A4
Greenville, NC 27858-5242

Mailing address

125 Oakmont Dr Ste A4
Greenville, NC 27858-5242
Phone (252) 414-3318

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000207 NC Practitioner - Nurse Practitioner 3274844089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2587 Ravenhill Dr
Fayetteville, NC 28303-5451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208959NCMDRegistered Nurse
5007549NCMDNurse Practitioner
0024193436VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC CurrentSince May 9, 2024 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince May 9, 2024 Accepting new patients
Kailo'S Mental Retreat Nurse Practitioner CurrentSince Dec 21, 2025 Accepting new patients
New Dawn Psychiatric Services, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Eastern Physical Medicine & Rehabilitation, LLC CurrentSince Jun 17, 2019 Accepting new patients
Anesthesia Services Associates, PLLC PastSince Aug 1, 2025 Accepting new patients
Sovran Senior Living, LLC Past Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

125 Oakmont Dr
Ste A4
Greenville, NC 27858
Phone (252) 414-3318

125 Oakmont Dr
Ste 4
Greenville, NC 27858

2245 Stantonsburg Rd
Ste A
Greenville, NC 27834
Phone (252) 215-9294

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

Interoperability endpoints

  • Direct secure messaging: lisa-moore@ipcfayetteville.e-mdsdirect.com

Organizations & group practices 7

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1689068751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OAKMONT DR STE A4",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585242",
            "telephone_number": "252-414-3318",
            "fax_number": "252-677-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKMONT DR STE A4",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585242",
            "telephone_number": "252-414-3318",
            "fax_number": "252-677-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193436",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.