Individual provider Active NPI

Katy Cecilia Lopez Vasquez, M.D.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1174833370
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101253761 Issued in VA
Practice address
1751 Erickson Ave
Harrisonburg, VA 22801-8555
Phone
(540) 248-4487
Fax
(540) 248-5312
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57-018398 OH
Family Medicine Physician 207Q00000X 0101253761 VA Primary

Addresses

Primary practice location

1751 Erickson Ave
Harrisonburg, VA 22801-8555

Mailing address

1751 Erickson Ave
Harrisonburg, VA 22801-8555
Phone (540) 932-5168

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000321 VA Practitioner - Family Practice 5294969259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Pratts Run
Suite A01
Waynesboro, VA 22980-6606
Phone (540) 221-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57-018398OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Direct Primary Care, PLLC Family Medicine CurrentSince Jun 16, 2025 Accepting new patients

Locations

15 Pratts Run
Ste A01
Waynesboro, VA 22980
Phone (540) 221-2959

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1174833370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 ERICKSON AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018555",
            "telephone_number": "540-932-5168",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 ERICKSON AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018555",
            "telephone_number": "540-248-4487",
            "fax_number": "540-248-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VASQUEZ",
        "first_name": "KATY",
        "middle_name": "CECILIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-018398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.