Meghan Elise Lopez, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024179797 Issued in VA

Practice address

19217 Spotswood Glade Dr
Gordonsville, VA 22942-8025

Phone

(443) 635-6040

NPI assigned

Sep 29, 2010

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

Other names 1

• Meghan Elise Bodkin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bala Family Practice

  • Primary Care Clinic/Center
  • Bel Air, MD
  • NPI 1386898443
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1265741938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 SPOTSWOOD GLADE DR",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "229428025",
            "telephone_number": "443-635-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 SPOTSWOOD GLADE DR",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "229428025",
            "telephone_number": "443-635-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MEGHAN",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "BODKIN",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elite Faith Mobile Medical Clinic PLLC
• Flora J. Woolfolk LLC
• Patricia Leonard Higgins, NP
• Jose Martin Jorge, RRT
• Avivah Knowles, LPC
• Rector & Visitors of the University of Virginia
• Kyle Scaggs, LCSW
• Speaking of Horses PLLC
• Spring Creek Family Dentistry & Orthodontics
• Jack F Thompson III, DDS

• Family Nurse Practitioner in Gordonsville, VA
• Providers in Gordonsville, 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 Nov 6, 2022; 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.