Active NPI
Lisa M Smith, N.P.
- Family Nurse Practitioner
- Lynchburg, VA
National Provider Identifier
1700960226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024120815
- Practice address
- 121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272 - Phone
- (434) 384-1862
- Fax
- (434) 384-7704
- NPI assigned
- Oct 24, 2006
- 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 | 0024120815 | VA | Primary |
Addresses
Primary practice location
121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Mailing address
121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Phone (434) 384-1862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010249414 | Medicaid | VA |
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 |
|---|---|---|---|
| 0024120815 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc. | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700960226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NATIONWIDE DR",
"address_2": "SUITE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245024272",
"telephone_number": "434-384-1862",
"fax_number": "434-384-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NATIONWIDE DR",
"address_2": "SUITE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245024272",
"telephone_number": "434-384-1862",
"fax_number": "434-384-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LISA",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024120815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010249414",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.