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LISA KATHERYN WASHBURN MD
NPI 1609850684
Pediatrics - Neonatal-Perinatal Medicine in Winston-salem, NC

Active since December 02, 2005PECOS Enrolled
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Katheryn Washburn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KATHERYN WASHBURN MD (NPI 1609850684) is an individual neonatal-perinatal medicine provider in Winston-salem, North Carolina, licensed in North Carolina (36613) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609850684
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameLISA KATHERYN WASHBURNCredential: MD
Location AddressMEDICAL CENTER BLVDWinston-salem, NC 27157
Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateDecember 9, 2008
✔ NPI 1609850684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 36613
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
MEDICAL CENTER BLVD, Winston-salem, NC 27157
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Other Identifiers 9

Medicare PIN2296957ANC
Other43973Partners
Other1291TBcbs
Medicare UPINH52376
Medicaid2006796000WV
Medicaid6739041VA
Other7576302Aetna
OtherB1069Medcost
Medicaid891291TNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Katheryn Washburn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Washburn's NPI number?

The NPI number for Lisa Washburn is 1609850684. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Lisa Washburn located?

Lisa Washburn practices at Medical Center Blvd, Winston-Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Lisa Washburn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lisa Washburn enrolled in Medicare?

Yes. Lisa Washburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Washburn was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.