Individual provider Active NPI

Lauren Elizabeth Martin, PA-C

  • Medical Physician Assistant
  • Winchester, VA
National Provider Identifier
1578229845
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-008208 Issued in VA
Practice address
1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601
Phone
(540) 662-0306
Fax
(855) 264-2066
NPI assigned
Nov 11, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-008208 VA Primary

Addresses

Primary practice location

1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601

Mailing address

1880 Amherst Street
Suite 200
Winchester, VA 22601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmartin581414@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211123002190 VA Practitioner - Physician Assistant 4587054077 Reassigns benefits to 3 organizations
I20231129002485 DC Practitioner - Physician Assistant 4587054077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

13575 Heathcote Blvd
Suite 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

21785 Filigree CT
Ashburn, VA 20147-6214

3020 Hamaker CT
Suite 101
Fairfax, VA 22031-2233
Phone (703) 289-9400

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-008208VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 13, 2023 Accepting new patients
Winchester Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 13, 2023 Accepting new patients
Inova Health Care Services CurrentSince Nov 13, 2023 Accepting new patients

Locations

3020 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 289-9400

8081 Innovation Park Dr
#602
Fairfax, VA 22031
Phone (571) 472-3270

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

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

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1880 Amherst St
Ste 100
Winchester, VA 22601
Phone (540) 662-0306

1880 Amherst St
Ste 200
Winchester, VA 22601
Phone (540) 662-0306

14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

Interoperability endpoints

  • Direct secure messaging: lmartin581414@soc.inova.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1578229845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 100 AND SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-008208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmartin581414@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst Street",
            "address_2": "Suite 100 and Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.