Active NPI
Lisa Marie Garcia, PA
- Physician Assistant
- Silver Spring, MD
National Provider Identifier
1376748285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0004354
- Practice address
- 12073-B Tech Road
Silver Spring, MD 20904 - Phone
- (301) 593-1315
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TL#508 | WY | |
| Physician Assistant | 363A00000X | C0004354 | MD | Primary |
Addresses
Primary practice location
12073-B Tech Road
Silver Spring, MD 20904
Mailing address
12073-B Tech Road
Silver Spring, MD 20904
Phone (301) 593-1315
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL#508 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1376748285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12073-B TECH ROAD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-593-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12073-B TECH ROAD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-593-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "TL#508",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.