Active NPI
Walker Lyerly IV, M.D.
- Psychiatry Physician
- Arlington, VA
National Provider Identifier
1912919267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101048137
- Practice address
- 2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558 - Phone
- (703) 841-1290
- Fax
- (703) 841-1315
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101048137 | VA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101048137 | VA |
Addresses
Primary practice location
2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Mailing address
5920 Hubbard Drive
Rockville, MD 20852
Phone (703) 532-2430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 11, 2022 through Aug 11, 2026
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Duke University School of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2501 N Glebe Rd
Arlington, VA 22207-3558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101048137 | VA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1912919267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 HUBBARD DRIVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "703-532-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N GLEBE RD",
"address_2": "SUITE 303",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222073558",
"telephone_number": "703-841-1290",
"fax_number": "703-841-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYERLY",
"first_name": "WALKER",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101048137",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101048137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.