Individual provider Active NPI

Kathryn Elizabeth Lagna, PA-C

  • Physician Assistant
  • Timonium, MD
National Provider Identifier
1639711336
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17 Halbright CT
Timonium, MD 21093-7003
Phone
(443) 834-4084
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 MD Primary

Addresses

Primary practice location

17 Halbright CT
Timonium, MD 21093-7003

Mailing address

17 Halbright CT
Timonium, MD 21093-7003
Phone (443) 834-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20191205002690 MD Practitioner - Physician Assistant 2769815703 Reassigns benefits to 3 organizations
I20191205002773 DC Practitioner - Physician Assistant 2769815703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc Physician Assistant CurrentSince Sep 19, 2022 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Oct 16, 2023 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Oct 16, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 12, 2019 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Oct 12, 2019 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1639711336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HALBRIGHT CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937003",
            "telephone_number": "443-834-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HALBRIGHT CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937003",
            "telephone_number": "443-834-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGNA",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.