Individual provider Active NPI

Ann M. Lambernedis, M.D,

  • Pediatric Adolescent Medicine Physician
  • Scott Depot, WV
National Provider Identifier
1295737153
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
18165 Issued in WV
Practice address
111 Great Teays Blvd Ste 101
Scott Depot, WV 25560-9548
Phone
(304) 757-8803
Fax
(304) 757-8803
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 18165 WV Primary

Addresses

Primary practice location

111 Great Teays Blvd Ste 101
Scott Depot, WV 25560-9548

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other practice location 1

303 Great Teays Blvd
Scott Depot, WV 25560-9553
Phone (304) 757-8803

Other identifiers 1

IdentifierTypeStateIssuer
0110154000MedicaidWV

Other names 1

  • Mrs. Ann M. Akins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200211000002 WV Practitioner - Pediatric Medicine 8224464250 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Dec 14, 2019 Accepting new patients
Valley Health Systems, Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 14, 2019 Accepting new patients
Valley Health Systems, Inc CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince May 1, 2025 Accepting new patients
Valley Health Systems Inc PastSince Nov 3, 2019 Accepting new patients
Stallamb P.L.L.C. Adolescent Medicine PastSince Nov 3, 2019 Accepting new patients

Locations

830 Pennsylvania Ave
Ste 108
Charleston, WV 25302
Phone (304) 344-8368

830 Pennsylvania Ave
Ste 305
Charleston, WV 25302
Phone (304) 345-8107

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

111 Great Teays Blvd
#101
Scott Depot, WV 25560
Phone (304) 757-8803

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: alambernedis19904@valleyhealthsystems.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1295737153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREAT TEAYS BLVD STE 101",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609548",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Great Teays Blvd",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609553",
            "country_code": "US",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERNEDIS",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WV",
            "license": "18165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110154000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "AKINS",
            "middle_name": "M.",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.