Individual provider Active NPI

Lacyoni Moraes-Finglass, MD

  • Cardiovascular Disease Physician
  • Abingdon, VA
National Provider Identifier
1215918248
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101225620 Issued in VA
Practice address
1237 W Main St
Abingdon, VA 24210-4705
Phone
(276) 676-2211
NPI assigned
Nov 8, 2005
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4653146OtherVAAETNA
2108605OtherVAMAMSI
P00055669OtherVARR MEDICARE
010003709MedicaidVA
237991OtherVASOUTHERN HEALTH
010166700OtherVABLACK LUNG
461931OtherVAANTHEM

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
I20250312003048 VA Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022917582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101225620VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.