Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lisa Kight Edmonds, FNP-C

Individual provider Family Nurse Practitioner · NPI 1073367108

Mrs. Lisa Kight Edmonds, FNP-C is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2024, 2 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5150 Queensway Rd
Winston Salem, NC 27127-7344
Phone: (828) 206-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5020489 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 188386 (NC)

Record details

NPI number1073367108
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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