Individual provider Active NPI

Lucie S Lavarn

  • Psychiatric/Mental Health Nurse Practitioner
  • Accokeek, MD
National Provider Identifier
1649059270
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199508 Issued in MD
Practice address
14004 Vintage LN
Accokeek, MD 20607-3779
Phone
(240) 425-2720
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R199508 MD Primary

Addresses

Primary practice location

14004 Vintage LN
Accokeek, MD 20607-3779

Mailing address

14004 Vintage LN
Accokeek, MD 20607-3779
Phone (240) 425-2720

Other practice location 1

6215 Greenbelt Rd Ste 107
Berwyn Heights, MD 20740-2355
Phone (301) 263-4890

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20241014000830 DC Practitioner - Nurse Practitioner 4789116997 Reassigns benefits to 1 organization
I20241126001006 VA Practitioner - Nurse Practitioner 4789116997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

8505 Arlington Blvd
Fairfax, VA 22031-4630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R199508MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 15, 2024 Accepting new patients
Inova Health Care Services CurrentSince Sep 15, 2024 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

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

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: llavarn1443685@soc.inova.org

Organizations & group practices 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1649059270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 VINTAGE LN",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073779",
            "telephone_number": "240-425-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14004 VINTAGE LN",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073779",
            "telephone_number": "240-425-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 Greenbelt Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402355",
            "country_code": "US",
            "telephone_number": "301-263-4890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVARN",
        "first_name": "LUCIE",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Accokeek, MD

Sources for this page

Verify at the official NPI Registry.