Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lanay Amberly Fonda, FNP-C

Individual provider Family Nurse Practitioner · NPI 1366900482

Mrs. Lanay Amberly Fonda, FNP-C is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2010, 16 years ago. Practices with Wiggington Road Family Practice Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1111 S Jefferson St Ste B
Roanoke, VA 24016-4724
Phone: (540) 769-3964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024177477 (VA)

Record details

NPI number1366900482
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 7, 2019
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Wiggington Road Family Practice Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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