Lisa Nora Atwa, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Smithfield, NC
NPI 1962726349 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1962726349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5011844 (NC)
- Practice address
- 509 N Brightleaf Blvd
Smithfield, NC 27577-4407 - Phone
- (919) 934-8171
- NPI assigned
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909003716 | NC | Practitioner - Nurse Practitioner | 4981736535 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS-00216 | NM | MD | Registered Nurse |
| R46396 | NM | MD | Registered Nurse |
| 5011844 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP-01581 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current |
Accepting new patients | |
| La Paloma Clinic LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Tri-County Mental Health Services | Past |
Accepting new patients | |
| Spurwink Services Incorporated | Past |
Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
Interoperability endpoints
- latwa1229981@direct.unc.nchie.net
- latwa@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5011844 | NC | Yes |
| Registered Nurse | 163W00000X | R46396 | NM | |
| Registered Nurse | 163W00000X | CNS-00216 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-01581 | NM |
Addresses
Primary practice location
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Mailing address
5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111
Other practice location 1
3620 Cove Dr
Raleigh, NC 27604-4046
Phone (914) 345-5900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | latwa1229981@direct.UNC.nchie.net | Direct |
Other providers in Smithfield, NC
- Aspirations and Miralces Community Support Services
- Mary Frances Asterita-Robol
- Efuetbejah Atemnkeng
- Romain Athus
- Adam Aydin Atik
- Victoria Jeanne Aucoin
- Autumn Wind of Smithfield, Inc.
- Alexander Thomas Averna
- Allison Winstead Ayers
- Rachel Blake Ayers
All providers in Smithfield, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.