Individual provider Active NPI

Lynn A Daltner, M.D.

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1043210941
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052561 Issued in VA
Practice address
5510 Alma LN
Springfield, VA 22151-4012
Phone
(703) 642-5990
Fax
(703) 642-5003
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101052561 VA Primary

Addresses

Primary practice location

5510 Alma LN
Springfield, VA 22151-4012

Mailing address

5510 Alma LN
Springfield, VA 22151-4012
Phone (703) 642-5990

Other identifiers 13

IdentifierTypeStateIssuer
1079335OtherVAAFFORDABLE FIRST HEALTH
5865565MedicaidVA
0403418OtherVAUNITED HEALTH MID-ATLANTI
0403418OtherVAUNITED HEALTH VIRGINIA
453710OtherVATRIGON KEYAD
0544728OtherVAAETNA/US HEALTHCARE
504071OtherVANCPPO
295698OtherVAMDIPA/OPTIMUM CHOICE/MAMS
382881OtherVAONE HEALTH GREATWEST
5052074OtherVAAHP MGD CHOICE
453710OtherVAANTHEM HEALTHKEEPERS
45560014OtherVABCBS DC/CAPCARE
7978415005OtherVACIGNA HMO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052561VAMDInternal Medicine Physician
0101055940VAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Care Physicians LLP Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10036785

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043210941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-642-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-642-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTNER",
        "first_name": "LYNN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFORDABLE FIRST HEALTH",
            "identifier": "1079335",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5865565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH MID-ATLANTI",
            "identifier": "0403418",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH VIRGINIA",
            "identifier": "0403418",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON KEYAD",
            "identifier": "453710",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "0544728",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "504071",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE/MAMS",
            "identifier": "295698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH GREATWEST",
            "identifier": "382881",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHP MGD CHOICE",
            "identifier": "5052074",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "453710",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC/CAPCARE",
            "identifier": "45560014",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "7978415005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.