Active NPI
Ndeye Lissa Kone, PA-C
- Physician Assistant
- Lansdowne, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004690
- Practice address
- 19455 Deerfield Ave Ste 201
Lansdowne, VA 20176-8102 - Phone
- (703) 723-3670
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004690 | VA | Primary |
Addresses
Primary practice location
19455 Deerfield Ave Ste 201
Lansdowne, VA 20176-8102
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
19455 Deerfield Ave Ste 205
Lansdowne, VA 20176-8102
Phone (703) 723-3670
Other practice location 2
24430 Stone Springs Blvd Ste 250
Dulles, VA 20166-2268
Phone (703) 723-3670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073832028 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- City University of New York School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Deerfield Ave
Lansdowne, VA 20176-8102
Phone (703) 723-3670
8640 Sudley Rd
Suite 201
Manassas, VA 20110-4404
Phone (703) 368-6819
Hospital & facility affiliations
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013945 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Gainesville, VA
- NPI 1518990472
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1073832028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE STE 201",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768102",
"telephone_number": "703-723-3670"
}
],
"practiceLocations": [
{
"address_1": "19455 Deerfield Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Lansdowne",
"state": "VA",
"postal_code": "201768102",
"country_code": "US",
"telephone_number": "703-723-3670",
"fax_number": "877-325-2018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24430 Stone Springs Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "Dulles",
"state": "VA",
"postal_code": "201662268",
"country_code": "US",
"telephone_number": "703-723-3670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONE",
"first_name": "NDEYE",
"middle_name": "LISSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073832028",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.