LISA DAMERON FNP NPI 1952648123

NPI Information

  • NPI: 1952648123
  • Provider Name: LISA DAMERON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5261 CARROLLTON PIKE
    SUITE B
    WOODLAWN, VA
    ZIP 24381
  • Phone: (276) 238-8876

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NPI Details

Lisa Dameron, FNP is a family nurse practitioner in Woodlawn, VA. Lisa Dameron, FNP NPI is 1952648123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5261 CARROLLTON PIKE
SUITE B
WOODLAWN, VA
ZIP 24381-030
Phone: (276) 238-8876
Fax: (276) 238-8886

The NPI 1952648123 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2013 and was last updated on 8/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse0001217082VIRGINIANo
2363LF0000XNurse PractitionerFamily0024170321VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1261083931OTHERTAX ID
2DN2980OTHERGROUP PTAN
31952648123MEDICAIDVIRGINIA
4VV8951AOTHERVIRGINIAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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