Individual provider Active NPI

Lisa W Kent, M.D.

  • Internal Medicine Physician
  • Winchester, VA
National Provider Identifier
1477514636
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057457 Issued in VA
Practice address
212 Linden Dr
Suite 152
Winchester, VA 22601-2894
Phone
(540) 667-0744
Fax
(540) 665-8158
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101057457 VA Primary

Addresses

Primary practice location

212 Linden Dr
Suite 152
Winchester, VA 22601-2894

Mailing address

212 Linden Dr
Suite 152
Winchester, VA 22601-2894
Phone (540) 667-0744

Other identifiers 2

IdentifierTypeStateIssuer
5820073MedicaidVA
1477514636OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101124000175 VA Practitioner - Internal Medicine 7719071372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

212 Linden Dr
Suite 152
Winchester, VA 22601-2893
Phone (540) 667-0744

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jul 11, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 11, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

20 S Stewart St
Ste 200
Winchester, VA 22601
Phone (540) 313-4358

212 Linden Dr
Ste 152
Winchester, VA 22601
Phone (540) 667-0744

1867 Amherst St
Winchester, VA 22601
Phone (540) 504-0547

Interoperability endpoints

  • Direct secure messaging: lisa.kent.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1477514636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR",
            "address_2": "SUITE 152",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-667-0744",
            "fax_number": "540-665-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LINDEN DR",
            "address_2": "SUITE 152",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-667-0744",
            "fax_number": "540-665-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "LISA",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5820073",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1477514636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.