Hallie Lightdale, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35558 Issued in DC

Practice address

2737 Devonshire PL NW
#123
Washington, DC 20008-3479

Phone

(718) 637-7679

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jevs Human Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1851766125
  Medicare reassignment

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922083682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW",
            "address_2": "#123",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "718-637-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW",
            "address_2": "#123",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "718-637-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTDALE",
        "first_name": "HALLIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "35558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Liggett, NP
• Malcom L Liggins
• Light Home Care Services LLC
• Aaron Light, LPA
• Jimmy Light, MD
• Felicia A Lightfoot, MSW; LICSW; LCSW-C
• Lighting Inc.
• Monique Denise Lighty, HHA
• Tachae Lighty
• Neil Ligon

• Psychiatry Physician in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatry Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.