| Laura Lisbeth Kennedy, RN, FNP-BC | |
|
12040 S Lakes Dr, Reston, VA 20191-1246 | |
| (703) 464-0686 | |
| Not Available |
| Full Name | Laura Lisbeth Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12040 S Lakes Dr, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760938161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001232629 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024173863 (Virginia) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lisbeth Kennedy, RN, FNP-BC 12040 S Lakes Dr, Reston, VA 20191-1246 Ph: (703) 464-0686 | Laura Lisbeth Kennedy, RN, FNP-BC 12040 S Lakes Dr, Reston, VA 20191-1246 Ph: (703) 464-0686 |
Margaret Smith Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1488 Northpoint Village Ctr, Reston, VA 20194 Phone: 571-786-1024 Fax: 571-786-1025 | |
Louise C Ritz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12524 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-689-2180 Fax: 703-481-3853 | |
Mrs. Inga Marler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12103 Stirrup Rd, Reston, VA 20191 Phone: 612-225-1538 | |
Ms. Maureen E West, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hill Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 | |
Mary Joseph Frickel, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Drive, Suite 220, Reston, VA 20190 Phone: 703-435-2555 Fax: 571-926-8910 | |
Ms. Dana Jones-sheppard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12040 S Lakes Dr Ste 204, Reston, VA 20191 Phone: 703-230-0347 Fax: 703-230-0350 | |
Mrs. Martha F Zier, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hills Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 |