Active NPI
Lisa Lynn Pike-Buchanan, SC.M.
- Genetic Counselor (M.S.)
- Chantilly, VA
National Provider Identifier
1013932474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 2002266
- Practice address
- 14225 Newbrook Dr
Chantilly, VA 20151-2228 - Phone
- (703) 802-7069
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 2002266 | VA | Primary |
Addresses
Primary practice location
14225 Newbrook Dr
Chantilly, VA 20151-2228
Mailing address
PO Box 460
Linden, VA 22642-0460
Phone (540) 295-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002266 | VA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013932474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "LINDEN",
"state": "VA",
"postal_code": "226420460",
"telephone_number": "540-295-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14225 NEWBROOK DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512228",
"telephone_number": "703-802-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE-BUCHANAN",
"first_name": "LISA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "SC.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "VA",
"license": "2002266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.