Tristan Loflin Looney, PA-C

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5223 Springlawn Ave
Roanoke, VA 24018-4234

Phone

(540) 819-0961

NPI assigned

May 29, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tloflin89174@direct.carilionclinic.org

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.

• Carilion Medical Center

  dba Carilion Emergency Physicians

  • Emergency Medicine Physician
  • Roanoke, VA
  • NPI 1649423815
  Medicare reassignment NPD
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021
  Medicare reassignment NPD
• Carilion Medical Center

  dba Carilion Clinic - DME - Westlake

  • Durable Medical Equipment & Medical Supplies
  • Hardy, VA
  • NPI 1073324810
  NPD
• Carilion Rockbridge Community Hospital

  dba Carilion Clinic Internal Medicine RHC

  • Rural Health Clinic/Center
  • Lexington, VA
  • NPI 1780076265
  NPD

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1659947760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 SPRINGLAWN AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184234",
            "telephone_number": "540-819-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 SPRINGLAWN AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184234",
            "telephone_number": "540-819-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOONEY",
        "first_name": "TRISTAN",
        "middle_name": "LOFLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilda Edean Long, OD
• Rachel Ann Long, LPTA
• Stacie Long, NCC, LPC
• Cade Vernon Looney
• Stacey Nicole Looney, PHARM.D.
• Cassandra Marie Lopez-Lucas, LPC
• Moses Kwasi Lopez-Twumasi
• Dennise Lopez, MBA, RD, CSR.
• Michelle Lopez, COTA
• Robyne Gale Lorek, PHARM.D.

• Student in an Organized Health Care Education/Training Program in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.