Lori Ann Bannon, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95039650 Issued in CA

Practice address

2225 Admiral Cir
Virginia Beach, VA 23451-1733

Phone

(577) 540-5537

Fax

(757) 794-4781

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  FL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Brightview LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1649786260
  NPD
• Imperfections Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, VA
  • NPI 1174410039

  Psychiatric/Mental Health

  NPD
• Inspiration Health Addiction Treatment Center, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Virginia Beach, VA
  • NPI 1659977346
  NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  NPD
• Tidewater Emergency Medical Care, LTD.

  • Emergency Medicine Physician
  • Chesapeake, VA
  • NPI 1710991153
  NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Henrico, VA
  • NPI 1013686989
  NPD
• Brightview LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Asheboro, NC
  • NPI 1962163782
  NPD
• Tidewater Emergency Medical Care

  • Physician Assistant
  • Chesapeake, VA
  • NPI 1295366201

  Nurse Practitioner

  NPD (past)
• Waterway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabeth City, NC
  • NPI 1487804670
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1073962890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FIRST COLONIAL RD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543078",
            "telephone_number": "757-395-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 ADMIRAL CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511733",
            "telephone_number": "577-540-5537",
            "fax_number": "757-794-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Admiral Cir",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234511733",
            "country_code": "US",
            "telephone_number": "757-754-0553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNON",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173629",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95039650",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024173629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquita Banks
• Mary-Rosellen Banks, DPT
• Nikita S Banks, CEO
• Rochelle Banks
• Reashelle Bannister
• Terra Baptiste
• Jeffrey H Baquiran, RPH
• Nima Baradaran, M.D.
• Crystal M. Barba, PA-C
• Dara Elizabeth Barbash, O.D.

• All providers in Virginia Beach, VA
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.