Lisa Marie Hairston, APRN, CRNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1216319 Issued in AZ

Practice address

18444 N 25TH Ave # 18
Phoenix, AZ 85023-1261

Phone

(562) 684-7575

NPI assigned

Apr 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, AZ, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant County Public Hospital District 1 112 clinicians

Douglas, Grant, Lincoln and Okanogan Counties Public Hospital District 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coulee Medical Center Hospital, Grand Coulee, WA, CCN 501308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.hairston.1@30822.direct.athenahealth.com

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.

• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
  • NPI 1184844185

  WA

  Medicare reassignment Care Compare group NPD
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Family Medicine Physician
  • Grand Coulee, WA
  • NPI 1265422935

  WA

  Medicare reassignment Care Compare group NPD
• Matrix Medical Network of West

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1942569033

  WV

  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  WV

  Medicare reassignment NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  WV

  Medicare reassignment NPD
• Bluefield Mesa Telemedicine Health & Wellness LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1770356537

  Family

  NPD Authorized official
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Medicare Defined Swing Bed Hospital Unit
  • Grand Coulee, WA
  • NPI 1699851840
  Care Compare group NPD
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Rural Health Clinic/Center
  • Grand Coulee, WA
  • NPI 1457420218
  Care Compare group
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Rural Health Clinic/Center
  • Coulee City, WA
  • NPI 1720169048
  Care Compare group
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1609112739
  Care Compare group
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1619086766
  Care Compare group
• Grant County Public Hospital District 1

  • General Acute Care Hospital
  • Moses Lake, WA
  • NPI 1902818883
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
  • NPI 1184844185

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1912439381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE # 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "412-901-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE # 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "562-684-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F1216319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Lenard Hailey, MD
• Daniela Haimov
• Danielle Erica Haines, LM
• Debra L Hainline, R.N.
• Kenneth Jerome Hainsworth, DO
• Nicole M Hairston, ACNP
• Roxanne Hait, PSYD
• Nasser Hajaig, MD
• Salah Hajelfaki
• Mahdieh Haji Amou Assar, MD

• All providers in Phoenix, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.