Individual provider Active NPI

Esi Dansowa Lagbo, NP

  • Adult Health Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1053453241
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024167102 Issued in VA
Practice address
850 Enterprise Pkwy
Suite 1300
Hampton, VA 23666-6251
Phone
(757) 637-4600
Fax
(757) 637-7641
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024167102 VA Primary

Addresses

Primary practice location

850 Enterprise Pkwy
Suite 1300
Hampton, VA 23666-6251

Mailing address

856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318
Phone (757) 594-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167102VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James H Mixon MD PC Adult Health Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1053453241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 ENTERPRISE PKWY",
            "address_2": "SUITE 1300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666251",
            "telephone_number": "757-637-4600",
            "fax_number": "757-637-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGBO",
        "first_name": "ESI",
        "middle_name": "DANSOWA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024167102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.