Individual provider Active NPI

Marlecia Lanei Lambeth, PA

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1356628747
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006494 Issued in VA
Practice address
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone
(703) 799-1688
Fax
(703) 799-4092
NPI assigned
Nov 14, 2011
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006494 VA Primary
Medical Physician Assistant 363AM0700X C0004576 MD
Hospitalist Physician 208M00000X C0004576 MD

Addresses

Primary practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

PO Box 11553
Newark, NJ 07101-4553
Phone (240) 965-4413

Other practice location 1

8116 Good Luck Rd Ste 10
Lanham, MD 20706
Phone (240) 965-4413

Other practice location 2

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8130

Other practice location 3

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

Other practice location 4

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

Other names 1

  • Marlecia Lanei Holland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111220000538 MD Practitioner - Physician Assistant 9931375060 Reassigns benefits to 3 organizations
I20181220000125 DC Practitioner - Physician Assistant 9931375060 Reassigns benefits to 3 organizations
I20220517002203 VA Practitioner - Physician Assistant 9931375060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625

3300 Gallows Rd
Falls Church, VA 22042-3307

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

4320 Seminary Rd
Alexandria, VA 22304-1535

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004576MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 25, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince May 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2011 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince May 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 1, 2020 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Sep 1, 2016 Accepting new patients
Inova Health Care Services CurrentSince Apr 25, 2022 Accepting new patients
Inova Health Care Services CurrentSince Apr 25, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2011 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Sep 1, 2016 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Dec 1, 2019 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 100
Annapolis, MD 21401
Phone (410) 573-1110

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8116 Good Luck Rd
Ste 10
Lanham, MD 20706
Phone (240) 241-7474

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

13900 Baltimore Ave
Laurel, MD 20707
Phone (301) 725-5652

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1356628747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11553",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014553",
            "telephone_number": "240-965-4413",
            "fax_number": "240-542-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-799-1688",
            "fax_number": "703-799-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8116 Good Luck Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "20706",
            "country_code": "US",
            "telephone_number": "240-965-4413",
            "fax_number": "240-542-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "301-552-8130",
            "fax_number": "301-552-8135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013280",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013280",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBETH",
        "first_name": "MARLECIA",
        "middle_name": "LANEI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006494",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004576",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "C0004576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLECIA",
            "last_name": "HOLLAND",
            "middle_name": "LANEI",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.