Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Diane Carboni, CRNP

Individual provider Lactation Consultant (Registered Nurse) · NPI 1114652989

Lisa Diane Carboni, CRNP is a Family Practice in Birmingham, Alabama. Qualified in 2005, 21 years ago. Works from 2 locations. Licensed in Alabama.

Years since qualifying
21
Licensed in
AL
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone: (205) 726-2835
Fax: (205) 408-9931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5502 Caldwell Mill Rd, Birmingham, AL 35242-4545 — (205) 533-8088

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-106255 (AL)
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X · Licence 1-106255 (AL)

Record details

NPI number1114652989
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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