Individual provider Active NPI

Lisa Melony Gittleman, FNP

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1982670303
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173782 Issued in VA
Practice address
2120 Washington Blvd
Sequoia 3/3Rd Floor
Arlington, VA 22204
Phone
(703) 535-5568
NPI assigned
Feb 25, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173782 VA Primary

Addresses

Primary practice location

2120 Washington Blvd
Sequoia 3/3Rd Floor
Arlington, VA 22204

Mailing address

2820 S Abingdon St Apt B2
Arlington, VA 22206-1361
Phone (858) 229-2473

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
I20170106000055 VA Practitioner - Nurse Practitioner 5597046599 Reassigns benefits to 4 organizations
I20170109001135 DC Practitioner - Nurse Practitioner 5597046599 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Current Accepting new patients
Neighborhood Health CurrentSince Aug 14, 2017 Accepting new patients
Inova Health Care Services CurrentSince Nov 1, 2016 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Neighborhood Health CurrentSince Aug 14, 2017 Accepting new patients
Inova Health Care Services CurrentSince Nov 1, 2016 Accepting new patients
Inova Health Care Services CurrentSince Nov 5, 2016 Accepting new patients

Locations

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 565-5568

6677 Richmond Hwy
Alexandria, VA 22306
Phone (703) 303-3701

624 Jones St
Appomattox, VA 24522
Phone (434) 263-4000

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 9

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": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1982670303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S ABINGDON ST APT B2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061361",
            "telephone_number": "858-229-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 WASHINGTON BLVD",
            "address_2": "SEQUOIA 3/3RD FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "703-535-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTLEMAN",
        "first_name": "LISA",
        "middle_name": "MELONY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.