Active NPI
Laura O Varner, FNP-C
- Family Nurse Practitioner
- Norfolk, VA
National Provider Identifier
1104087147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167754
- Practice address
- 855 W Brambleton Ave
Norfolk, VA 23510-1005 - Phone
- (757) 446-5908
- Fax
- (757) 446-5970
- NPI assigned
- Jun 23, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167754 | VA | Primary |
Addresses
Primary practice location
855 W Brambleton Ave
Norfolk, VA 23510-1005
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5908
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAR | Other | VA | CORVEL/CORCARE |
| -033 | Other | VA | TRICARE/CHAMPUS |
| 10039269N | Other | VA | SENTARA/OPTIMA |
| PAR | Other | VA | VA PREMIER HEALTH |
| PAR | Other | VA | MULTIPLAN |
| 7004430 | Medicaid | NC | |
| PAR | Other | VA | USA MANAGED CARE |
| 04430 | Other | NC | BC/BS OF NORTH CAROLINA |
| 1104087147 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1104087147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-5908",
"fax_number": "757-446-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101005",
"telephone_number": "757-446-5908",
"fax_number": "757-446-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNER",
"first_name": "LAURA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-033",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "10039269N",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004430",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NORTH CAROLINA",
"identifier": "04430",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104087147",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.