Active NPI
Nicole Levault
- Surgical Assistant
- Midlothian, VA
National Provider Identifier
1083368120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0136000346
- Practice address
- 13710 St Francis Blvd
Midlothian, VA 23114-3267 - Phone
- (757) 240-1127
- NPI assigned
- Feb 8, 2022
- Last updated
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136000346 | VA | Primary |
Addresses
Primary practice location
13710 St Francis Blvd
Midlothian, VA 23114-3267
Mailing address
1600 Titanium Ave Apt 302
Midlothian, VA 23114-6560
Phone (757) 240-1127
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136000346 | VA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1083368120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 TITANIUM AVE APT 302",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231146560",
"telephone_number": "757-240-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13710 ST FRANCIS BLVD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231143267",
"telephone_number": "757-240-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVAULT",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136000346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.