Active NPI
Lavonna Smith-Tyler
- Private Vehicle
- Fredericksburg, VA
National Provider Identifier
1275031593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- T63406787
- Practice address
- 10500 Napoleon St
Fredericksburg, VA 22408-8089 - Phone
- (540) 373-6496
- Fax
- (540) 373-6496
- NPI assigned
- Feb 1, 2018
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | T63406787 | VA | Primary |
Addresses
Primary practice location
10500 Napoleon St
Fredericksburg, VA 22408-8089
Mailing address
10500 Napoleon St
Fredericksburg, VA 22408-8089
Phone (540) 455-1297
Other practice location 1
10500 Napoleon Street
Frederciskburg, VA 22408
Phone (540) 373-6496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T63406787 | VA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275031593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 NAPOLEON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224088089",
"telephone_number": "540-455-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 NAPOLEON ST",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224088089",
"telephone_number": "540-373-6496",
"fax_number": "540-373-6496"
}
],
"practiceLocations": [
{
"address_1": "10500 Napoleon Street",
"address_purpose": "LOCATION",
"city": "Frederciskburg",
"state": "VA",
"postal_code": "22408",
"country_code": "US",
"telephone_number": "540-373-6496",
"fax_number": "540-373-6496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-TYLER",
"first_name": "LAVONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "VA",
"license": "T63406787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Shawn Renea Small Sanders, ANPBC
- Smart Prime Care Provider PLLC (Smart Prime Care)
- Samuel C Smart, DOCTOR OF OPTOMETRY
- Smile Co FXBG Dentistry, PC
- Smileville PLLC (Reform Dentistry)
- Aracoma S Smith, LCSW
- Ashley Dawn Smith, LMT
- Barbara Sprinkle Smith, B.S., C. M.T.
- Betsy Smith, PHARMD
- Bridget Marie Smith, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.