Individual provider Active NPI

Lindsey A Lee, NP

  • Adult Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1891207023
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024175464 Issued in VA
Practice address
3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231
Phone
(703) 876-2647
Fax
(703) 564-0057
NPI assigned
Oct 27, 2017
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024175464 VA Primary

Addresses

Primary practice location

3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231

Mailing address

3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231
Phone (703) 876-2647

Other names 1

  • Lindsey Sien Ahn Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lindseylee@nspc.medalliesdirect.net
Direct Messaging Address clinical@ncf.greenwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180405000681 DC Practitioner - Nurse Practitioner 2860751047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175464VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of Fairfax, LTD CurrentSince Jul 14, 2021 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800

1830 Town Center Dr
Ste 305
Reston, VA 20190
Phone (703) 478-0601

Interoperability endpoints

  • Direct secure messaging: clinical@ncf.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1891207023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312231",
            "telephone_number": "703-876-2647",
            "fax_number": "703-564-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312231",
            "telephone_number": "703-876-2647",
            "fax_number": "703-564-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LINDSEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindseylee@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "8501 Arlington Blvd Ste 410",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@ncf.greenwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3020 Hamaker Ct Ste 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "AHN",
            "middle_name": "SIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.