NPIMap

Individual provider Active NPI

Lisa K Salyards, P.A.-C

  • Physician Assistant
  • Salem, VA
National Provider Identifier
1629175401
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002044 Issued in VA
Practice address
1900 Electric Rd
Salem, VA 24153-7474
Phone
(540) 776-4000
Fax
(540) 776-2083
NPI assigned
Sep 20, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002044 VA Primary

Addresses

Primary practice location

1900 Electric Rd
Salem, VA 24153-7474

Mailing address

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other identifiers 2

IdentifierTypeStateIssuer
P00453920OtherVARAILROAD MEDICARE
1629175401MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000957 VA Practitioner - Physician Assistant 4688618465 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingleside Physician Services, LLCGroup PAC ID 6103174255, 12 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Practice addresses (Care Compare)

1 Arh Lane
Low Moor, VA 24457
Phone (540) 862-6011

1000 Fairview Ave
Clifton Forge, VA 24422-1873
Phone (540) 814-5344

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110002044VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC Physician Assistant CurrentSince Dec 27, 2025 Accepting new patients
Universal Health Corporation CurrentSince Oct 19, 2025 Accepting new patients
Lexington Virginia Emergency Physicians LLP Physician Assistant Past Accepting new patients
Salem Hospitalists LLC Past Accepting new patients

Locations

3737 Catalpa Ave
Buena Vista, VA 24416
Phone (540) 261-7444

1000 Fairview Ave
Clifton Forge, VA 24422
Phone (540) 862-9555

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Organizations & group practices 10

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1629175401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYARDS",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00453920",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629175401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.