Individual provider Active NPI

Katherine D Lyons, PA-C

  • Physician Assistant
  • Woodbridge, VA
National Provider Identifier
1043656309
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004217 Issued in VA
Practice address
14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone
(703) 490-1112
Fax
(703) 878-8732
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004217 VA Primary

Addresses

Primary practice location

14348 Gideon Dr
Woodbridge, VA 22192-4640

Mailing address

14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112

Other practice location 1

7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250
Phone (301) 276-7379

Other practice location 2

1420 Spring Hill Rd Ste 210
Mc Lean, VA 22102-3006
Phone (703) 738-4342

Other names 1

  • Katherine Durland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001238 VA Practitioner - Physician Assistant 9537303433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112

14605 Potomac Branch Dr
Suite 300
Woodbridge, VA 22191-3337
Phone (703) 490-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004217VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 2, 2024 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 13klyons@cfaortho.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1043656309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14348 GIDEON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "703-490-1112",
            "fax_number": "703-878-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Hanover Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702250",
            "country_code": "US",
            "telephone_number": "301-276-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Spring Hill Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221023006",
            "country_code": "US",
            "telephone_number": "703-738-4342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DURLAND",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.