Active NPI
Eugenia Moran Lyndon, FNP
- Family Nurse Practitioner
- Manassas, VA
National Provider Identifier
1598046419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024169623
- Practice address
- 8575 Sudley Rd
Ste B
Manassas, VA 20110-3861 - Phone
- (703) 361-3161
- Fax
- (703) 361-1529
- NPI assigned
- Sep 6, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169623 | VA | Primary |
Addresses
Primary practice location
8575 Sudley Rd
Ste B
Manassas, VA 20110-3861
Mailing address
8575 Sudley Rd
Ste B
Manassas, VA 20110-3861
Phone (703) 361-3161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elyndon97787@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169623 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1598046419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 SUDLEY RD",
"address_2": "STE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103861",
"telephone_number": "703-361-3161",
"fax_number": "703-361-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 SUDLEY RD",
"address_2": "STE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103861",
"telephone_number": "703-361-3161",
"fax_number": "703-361-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNDON",
"first_name": "EUGENIA",
"middle_name": "MORAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2023-11-27",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024169623",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elyndon97787@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6201 Centreville Rd Ste 200",
"city": "Centreville",
"state": "VA",
"country_code": "US",
"postal_code": "201212626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.