NPIMap

Individual provider Active NPI

Lantie Elisabeth Jorandby, MD

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1801978804
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101259302 Issued in VA
Practice address
10701 Parkridge Blvd
Suite 110
Reston, VA 20191-4359
Phone
(703) 880-4000
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 264136 MA
Neurology Physician 2084N0400X ME91054 FL
Psychiatry Physician 2084P0800X 0101259302 VA Primary

Addresses

Primary practice location

10701 Parkridge Blvd
Suite 110
Reston, VA 20191-4359

Mailing address

10701 Parkridge Blvd
Suite 110
Reston, VA 20191-4359
Phone (703) 880-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264136MAMDNeurology Physician
0101259302VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canopy Pines Recovery LLC Current Accepting new patients
Ship Port Psych Services LLC Past Accepting new patients
Lakeview Health Systems, LLC Past Accepting new patients
Amen Clinics, Inc DC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1801978804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 PARKRIDGE BLVD",
            "address_2": "SUITE 110",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914359",
            "telephone_number": "703-880-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 PARKRIDGE BLVD",
            "address_2": "SUITE 110",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914359",
            "telephone_number": "703-880-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORANDBY",
        "first_name": "LANTIE",
        "middle_name": "ELISABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "264136",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME91054",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101259302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.