Individual provider Active NPI

Amanda Nicole Lawton, A.G.P.C.N.P.-BC

  • Adult Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1780016782
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306606 Issued in NY
Practice address
4660 Kenmore Ave
Suite 100
Alexandria, VA 22304-1313
Phone
(703) 751-5763
Fax
(703) 751-1152
NPI assigned
Aug 1, 2013
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024171620 VA
Adult Health Nurse Practitioner 363LA2200X F306606 NY Primary
Gerontology Nurse Practitioner 363LG0600X 0024171620 VA
Primary Care Nurse Practitioner 363LP2300X 0024171620 VA

Addresses

Primary practice location

4660 Kenmore Ave
Suite 100
Alexandria, VA 22304-1313

Mailing address

4660 Kenmore Ave
Suite 100
Alexandria, VA 22304-1313
Phone (703) 751-5763

Other names 1

  • Amanda Nicole Terzian Former name

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
I20150227001743 VA Practitioner - Nurse Practitioner 7315181146 Reassigns benefits to 2 organizations
I20161103000866 DC Practitioner - Nurse Practitioner 7315181146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 305
Alexandria, VA 22304-1306
Phone (703) 751-5763

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306606NYMDAdult Health Nurse Practitioner
0024171620VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Apr 1, 2026 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 15, 2016 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 15, 2016 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 17, 2016 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 100
Alexandria, VA 22304
Phone (703) 370-0400

4660 Kenmore Ave
Ste 305
Alexandria, VA 22304
Phone (703) 751-5763

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 573-6400

8316 Arlington Blvd
Ste 615
Fairfax, VA 22031
Phone (703) 560-8877

224D Cornwall St NW
Ste 420
Leesburg, VA 20176

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Organizations & group practices 6

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 2

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1780016782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-751-5763",
            "fax_number": "703-751-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-751-5763",
            "fax_number": "703-751-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "A.G.P.C.N.P.-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171620",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306606",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024171620",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024171620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TERZIAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.