Provider Demographics
NPI:1336238138
Name:UMAYAM, LINDSAY BEECROFT (NP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:BEECROFT
Last Name:UMAYAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5546 15TH ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-2746
Mailing Address - Country:US
Mailing Address - Phone:703-237-2332
Mailing Address - Fax:
Practice Address - Street 1:3033 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3843
Practice Address - Country:US
Practice Address - Phone:703-238-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165086363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health