Individual provider Active NPI

Lindsey Pamela Graham, APRN

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1770176851
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190246 Issued in VA
Practice address
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone
(703) 504-3000
Fax
(703) 504-3388
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009015 FL
Family Nurse Practitioner 363LF0000X 0024190246 VA Primary

Addresses

Primary practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

9750 NW 33Rd St Ste 120
Coral Springs, FL 33065-4000
Phone (954) 255-5799

Other practice location 1

9750 NW 33rd St Ste 120
Coral Springs, FL 33065-4000
Phone (954) 255-5799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20240905002745 VA Practitioner - Nurse Practitioner 9234679291 Reassigns benefits to 1 organization
I20240918004860 DC Practitioner - Nurse Practitioner 9234679291 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009015FLMDFamily Nurse Practitioner
0024190246VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 19, 2024 Accepting new patients
Inova Health Care Services CurrentSince Aug 19, 2024 Accepting new patients
Inova Health Care Services CurrentSince Sep 19, 2024 Accepting new patients
Vitalmd Group Holding LLC PastSince Feb 1, 2021 Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3620 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-3266

8081 Innovation Park Dr
#301
Fairfax, VA 22031

8260 Willow Oaks Corporate Dr
Ste 350
Fairfax, VA 22031
Phone (571) 472-0920

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

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

44055 Riverside Pkwy
Ste 104
Leesburg, VA 20176
Phone (703) 858-1800

Interoperability endpoints

  • Direct secure messaging: lgraham1441717@soc.inova.org

Organizations & group practices 4

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1770176851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 120",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-255-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9750 NW 33rd St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654000",
            "country_code": "US",
            "telephone_number": "954-255-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LINDSEY",
        "middle_name": "PAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.