Lietzle Ann Ford, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176660 Issued in VA

Practice address

28 Abby Rd
Palmyra, VA 22963-2085

Phone

(540) 661-2533

NPI assigned

Oct 11, 2018

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.36 of 100Reported as group

Quality

78.67

Improvement activities

40

Cost

83.65

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1184199598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ABBY RD",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632085",
            "telephone_number": "434-589-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ABBY RD",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632085",
            "telephone_number": "540-661-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LIETZLE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176660",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024176660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fluvanna County
• Fluvanna County Public Schools
• Fluvanna Eye Care
• Fluvanna Family Medicine PC
• Fluvanna Youth Mentoring LLC
• Peter M Freag, DDS
• Brinley Freeman
• Amber Fusco
• Shannon Kathleen Garrett-Redmond, LCSW
• Peter Roger Generelly, MD

• Family Nurse Practitioner in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.