Lisa Dawn Carpenter-Woodham, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

146740 Issued in NC

Practice address

2817 Rock Merritt
Fort Liberty, NC 28310-0001

Phone

(910) 643-2508

Fax

(910) 643-7440

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1750114047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-643-2508",
            "fax_number": "910-643-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-643-2508",
            "fax_number": "910-643-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER-WOODHAM",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "146740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Burgess, MD
• Christopher Burkett, REGISTERED DIETITIAN
• Jeffrey Victor Bymark
• Christopher Jude Calvano, M.D., PH.D.
• Katherine Capunitan
• Wesley William Carr, M.D.
• Carol Monteith Carroll, RN
• Robert Bruce Carroll, M.D.
• Cornelius Tucker Carwile III, D. C.
• Bobbi J Casas, FNP

• Case Management Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.