Individual provider Active NPI

Lisa Michelle Winick, C.N.M.

  • Advanced Practice Midwife
  • Santa Maria, CA
National Provider Identifier
1699821959
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1530 Issued in CA
Practice address
1418 E Main St Ste 210
Santa Maria, CA 93454-4836
Phone
(805) 928-3678
Fax
(805) 928-6408
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 95035540 CA
Advanced Practice Midwife 367A00000X 1530 CA Primary

Addresses

Primary practice location

1418 E Main St Ste 210
Santa Maria, CA 93454-4836

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030

Other practice location 1

1941 Johnson Ave
Suite 202
San Luis Obispo, CA 93401-4140
Phone (805) 548-0033

Other practice location 2

250 N See Vee Ln
Bishop, CA 93514-8130
Phone (760) 873-6394

Other identifiers 1

IdentifierTypeStateIssuer
THP11576FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409000670 CA Practitioner - Certified Nurse Midwife (CNM) 7214290097 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95035540CAMDPsychiatric/Mental Health Nurse Practitioner
1530CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Jul 7, 2025 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 7, 2025 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Jul 7, 2025 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 7, 2025 Accepting new patients
Creating Harmony Women'S Healthcare Inc Advanced Practice Midwife PastSince Nov 28, 2015 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

1418 E Main St
Ste 210
Santa Maria, CA 93454
Phone (805) 928-3678

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.winick.1@17363.direct.athenahealth.com
  • Direct secure messaging: lisa.winick.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 9

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1699821959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587310",
            "telephone_number": "805-361-8030",
            "fax_number": "805-361-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E MAIN ST STE 210",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544836",
            "telephone_number": "805-928-3678",
            "fax_number": "805-928-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Johnson Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014140",
            "country_code": "US",
            "telephone_number": "805-548-0033",
            "fax_number": "805-548-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 N See Vee Ln",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935148130",
            "country_code": "US",
            "telephone_number": "760-873-6394",
            "fax_number": "760-503-5479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINICK",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035540",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.