Individual provider Active NPI

Lynn Allison, PA-C

  • Physician Assistant
  • Greenbelt, MD
National Provider Identifier
1588091607
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C005254 Issued in MD
Practice address
7205 Hanover Pkwy Ste B
Greenbelt, MD 20770-2012
Phone
(240) 965-6830
Fax
(240) 965-7657
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA030981 DC
Physician Assistant 363A00000X C005254 MD Primary

Addresses

Primary practice location

7205 Hanover Pkwy Ste B
Greenbelt, MD 20770-2012

Mailing address

7205 Hanover Pkwy Ste B
Greenbelt, MD 20770-2012
Phone (240) 965-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000439 MD Practitioner - Physician Assistant 2668692377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

7249 Hanover Pkwy
Greenbelt, MD 20770-3608
Phone (301) 613-8923

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA030981DCMDPhysician Assistant
C005254MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lanham Internal Medicine Associates, LLC CurrentSince Dec 18, 2022 Accepting new patients
Vanessa Allen MD LLC PastSince Jun 18, 2007 Accepting new patients

Locations

7205 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (240) 965-6830

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEGBD/Endpoint/EFEGBD
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1588091607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702012",
            "telephone_number": "240-965-6830",
            "fax_number": "240-965-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702012",
            "telephone_number": "240-965-6830",
            "fax_number": "240-965-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030981",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C005254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.