Lisa A Wiener, CRNP,CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024096818 Issued in VA

Practice address

4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192-8323

Phone

(703) 680-7950

Fax

(703) 680-7953

NPI assigned

Jan 2, 2007

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

Other names 1

• Lisa Graef Former name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neighborhood Health

  dba Engleside

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1154674026

  DC

  Medicare reassignment NPD
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1164620027
  NPD
• Neighborhood Health

  dba Neighborhood Health at Arlington Pediatric Center

  • Federally Qualified Health Center (FQHC)
  • Arlington, VA
  • NPI 1225899719
  NPD
• Greater Prince William Area Community Health Center Inc

  dba Greater Prince William Community Health Center Dumfries

  • Federally Qualified Health Center (FQHC)
  • Dumfries, VA
  • NPI 1568838738
  NPD (past)
• Greater Prince William Area Community Health Center Inc

  dba Evergreen Terrace Building

  • Federally Qualified Health Center (FQHC)
  • Manassas, VA
  • NPI 1770914939
  NPD (past)
• Neighborhood Health

  dba Gartlan CSB

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1669801403
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1942367990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928322",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001096818",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024096818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GRAEF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell Scott White, D.C
• Thornetia Renee White
• Tieya Whites, CRNA
• Julia Whitmer
• Whole Motion Therapy and Wellness, PLLC
• John James Wierzbicki, D.O.
• Melanie Lyn Wiest, ANP
• Brittany Wiggins
• Jackie Wiggins, CRT
• Amanda Wild, EDD, BCBA, LBA, LABA

• Advanced Practice Midwife in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.