Individual provider Active NPI

Lisha A Steed, AGNP

  • Adult Health Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1720504558
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5009749 Issued in NC
Practice address
121 Enterprise Dr
Rocky Mount, NC 27804-9516
Phone
(919) 596-3400
Fax
(919) 596-3499
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5009749 NC Primary

Addresses

Primary practice location

121 Enterprise Dr
Rocky Mount, NC 27804-9516

Mailing address

271 Sand Pit Rd
Aberdeen, NC 28315-4319
Phone (910) 690-5894

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
I20171002002517 NC Practitioner - Nurse Practitioner 3971878935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5009749NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JKM Community Services, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Oct 27, 2017 Accepting new patients
Wisconsin Spine and Pain SC PastSince Oct 27, 2017 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

4214 N Roxboro St
Durham, NC 27704
Phone (919) 226-1261

2109 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 223-7246

1840 Owen Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 223-7246

109 Forest Hills Dr
Garner, NC 27529
Phone (919) 863-6939

1970 W Arlington Blvd
Ste C
Greenville, NC 27834
Phone (252) 317-1195

4248 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 671-7229

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

7780 Brier Creek Pkwy
Raleigh, NC 27617

121 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 200-5180

340 Commerce Ave
Southern Pines, NC 28387
Phone (800) 445-6118

612 Jefferson St
Ste 20
Whiteville, NC 28472
Phone (910) 207-6417

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1720504558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SAND PIT RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283154319",
            "telephone_number": "910-690-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ENTERPRISE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049516",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEED",
        "first_name": "LISHA",
        "middle_name": "A",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5009749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.