LISA JO ROBERTS CNM NPI 1164413712

NPI Information

  • NPI: 1164413712
  • Provider Name: LISA JO ROBERTS, CNM
  • Classification: Advanced Practice Midwife - 367A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18 HAGGERTY LANE
    SUITE 103
    STAUNTON, VA
    ZIP 24401
  • Phone: (540) 414-8585

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NPI Details

Lisa Jo Roberts, CNM is an advanced practice midwife in Staunton, VA. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. Lisa Jo Roberts, CNM NPI is 1164413712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18 HAGGERTY LANE
SUITE 103
STAUNTON, VA
ZIP 24401
Phone: (540) 414-8585
Fax: (540) 414-8597

The NPI 1164413712 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice Midwife0024158784VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010089832MEDICAIDVIRGINIA
2S72388MEDICARE UPIN
37791356MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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