Active NPI
Lacyoni Moraes-Finglass, MD
- Cardiovascular Disease Physician
- Abingdon, VA
National Provider Identifier
1215918248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101225620
- Practice address
- 1237 W Main St
Abingdon, VA 24210-4705 - Phone
- (276) 676-2211
- NPI assigned
- Nov 8, 2005
- Last updated
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101225620 | VA | Primary |
Addresses
Primary practice location
1237 W Main St
Abingdon, VA 24210-4705
Mailing address
19332 Triple Crown Dr
Abingdon, VA 24211-6752
Phone (276) 676-3969
Other practice location 1
390 Commerce Dr
Suite A
Abingdon, VA 24211-3876
Phone (276) 676-2211
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4653146 | Other | VA | AETNA |
| 2108605 | Other | VA | MAMSI |
| P00055669 | Other | VA | RR MEDICARE |
| 010003709 | Medicaid | VA | |
| 237991 | Other | VA | SOUTHERN HEALTH |
| 010166700 | Other | VA | BLACK LUNG |
| 461931 | Other | VA | ANTHEM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250312003048 | VA | Order and Referring Only - Cardiovascular Disease (Cardiology) | 8022917582 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101225620 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- lacyonimoraes@abingdonhc.ssdirect.aprima.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Johnston Memorial Hospital ER Physicians
- General Acute Care Hospital
- Abingdon, VA
- NPI 1033214440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1215918248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19332 TRIPLE CROWN DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242116752",
"telephone_number": "276-676-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 W MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242104705",
"telephone_number": "276-676-2211"
}
],
"practiceLocations": [
{
"address_1": "390 Commerce Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242113876",
"country_code": "US",
"telephone_number": "276-676-2211",
"fax_number": "276-676-0966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAES-FINGLASS",
"first_name": "LACYONI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101225620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4653146",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2108605",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00055669",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010003709",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "237991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "010166700",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "461931",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.