Individual provider Active NPI

Lisa Diann Seibert, APRN, CNM, RNC-OB

  • Advanced Practice Midwife
  • Waco, TX
National Provider Identifier
1720748981
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1057085 Issued in TX
Practice address
405 Londonderry Dr Ste 204
Waco, TX 76712-7921
Phone
(254) 772-5454
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1057085 TX Primary

Addresses

Primary practice location

405 Londonderry Dr Ste 204
Waco, TX 76712-7921

Mailing address

405 Londonderry Dr Ste 204
Waco, TX 76712-7921
Phone (254) 772-5454

Other names 1

  • Lisa Diann Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220511001595 TX Practitioner - Certified Nurse Midwife (CNM) 0648657775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2291

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Seton Family of Doctors Current Accepting new patients
Heart of Texas Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Sep 1, 2025 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince May 1, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Sep 1, 2025 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heart of Texas Community Health Center, Inc Past Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1323 E Franklin St
Ste 105
Hillsboro, TX 76645
Phone (254) 582-7481

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500

1610 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

Organizations & group practices 8

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1720748981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY DR STE 204",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127921",
            "telephone_number": "254-772-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY DR STE 204",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127921",
            "telephone_number": "254-772-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "LISA",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNM, RNC-OB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1057085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CAMPBELL",
            "middle_name": "DIANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.