Individual provider Active NPI

Lynnita Andrea Montague-Daddio, NP-CNS, RN

  • Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1174195671
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024181940 Issued in VA
Practice address
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone
(703) 254-4261
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001211544 VA
Clinical Nurse Specialist 364S00000X 0015000984 VA
Nurse Practitioner 363L00000X 0024181940 VA Primary

Addresses

Primary practice location

1701 N George Mason Dr
Arlington, VA 22205-3610

Mailing address

9775 Oleander Ave
Vienna, VA 22181-6037
Phone (703) 254-4261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmontague@virginiahospoitalcenter.com Direct Virginia Hospital Center

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001211544VAMDRegistered Nurse
0024181940VAMDNurse Practitioner
0015000984VAMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1174195671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 OLEANDER AVE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221816037",
            "telephone_number": "703-254-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-254-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE-DADDIO",
        "first_name": "LYNNITA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "NP-CNS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001211544",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "VA",
            "license": "0015000984",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024181940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmontague@virginiahospoitalcenter.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Virginia Hospital Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N George Mason Dr",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.