Active NPI
Lissette Maria Estevez Valdes, MMSC, PA-C
- Medical Physician Assistant
- Atlanta, GA
National Provider Identifier
1437595501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003267
- Practice address
- 4500 North Shallowford Road
Emory Family Medicine Clinic
Atlanta, GA 30338 - Phone
- (404) 778-6920
- NPI assigned
- May 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003267 | GA | Primary |
Addresses
Primary practice location
4500 North Shallowford Road
Emory Family Medicine Clinic
Atlanta, GA 30338
Mailing address
1462 Clifton Road, N.E., Suite 280
Emory University Physician Assistant Program
Atlanta, GA 30322
Phone (404) 727-2581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003267 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1437595501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 CLIFTON ROAD, N.E., SUITE 280",
"address_2": "EMORY UNIVERSITY PHYSICIAN ASSISTANT PROGRAM",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-727-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 NORTH SHALLOWFORD ROAD",
"address_2": "EMORY FAMILY MEDICINE CLINIC",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "404-778-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "LISSETTE",
"middle_name": "MARIA ESTEVEZ",
"name_prefix": "Ms.",
"credential": "MMSC, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.