Lisa Christine Bontrager, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R150210 Issued in MD

Practice address

3620 Buckeystown Pike
Buckeystown, MD 21717

Phone

(240) 341-4974

Fax

(304) 461-6522

NPI assigned

Dec 11, 2006

Last updated

Mar 29, 2018By the provider in NPPES

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

Certified Nurse Midwife

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Riverside Midwifery, LLC

  • Health Service Clinic/Center
  • Buckeystown, MD
  • NPI 1871870949
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1841350907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "BUCKEYSTOWN",
            "state": "MD",
            "postal_code": "217170069",
            "telephone_number": "240-341-4974",
            "fax_number": "304-461-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 BUCKEYSTOWN PIKE",
            "city": "BUCKEYSTOWN",
            "state": "MD",
            "postal_code": "21717",
            "telephone_number": "240-341-4974",
            "fax_number": "304-461-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R150210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Dewitt, CPM
• Nannette Christine Jenkins, CNM
• Brooke Elizabeth Anne Loewenstein, D.V.M
• Riverside Midwifery, LLC
• Satta Yonday Samura, FNP

• Advanced Practice Midwife in Buckeystown, MD
• Providers in Buckeystown, MD by specialty
• Advanced Practice Midwife in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.