Active NPI
Lisa Stehli Kelly, MD
- Pediatrics Physician
- Falls Church, VA
National Provider Identifier
1710045976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101237717
- Practice address
- 107 North Virginia Avenue
Falls Church, VA 22046 - Phone
- (703) 532-4446
- Fax
- (703) 532-8426
- NPI assigned
- Dec 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101237717 | VA | Primary |
| Pediatrics Physician | 208000000X | MD035348 | DC |
Addresses
Primary practice location
107 North Virginia Avenue
Falls Church, VA 22046
Mailing address
107 North Virginia Avenue
Falls Church, VA 22046
Phone (703) 532-4446
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035348 | DC | MD | Pediatrics Physician |
| 0101237717 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Pediatrics PC | Pediatrics | Past | Accepting new patients |
| Piedmont Pediatrics, PLC | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- lisa.kelly.p9@direct.piedpeds.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710045976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NORTH VIRGINIA AVENUE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22046",
"telephone_number": "703-532-4446",
"fax_number": "703-532-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NORTH VIRGINIA AVENUE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22046",
"telephone_number": "703-532-4446",
"fax_number": "703-532-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LISA",
"middle_name": "STEHLI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101237717",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD035348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, 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.