Active NPI
Bernadette Lamotte, CPNP
- Pediatric Nurse Practitioner
- Suffolk, VA
National Provider Identifier
1194967901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024165685
- Practice address
- 1009 Hillpoint Blvd N
Suffolk, VA 23434-8470 - Phone
- (757) 668-2250
- Fax
- (757) 668-2255
- NPI assigned
- Mar 26, 2009
- Last updated
- Jun 19, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024165685 | VA | Primary |
Addresses
Primary practice location
1009 Hillpoint Blvd N
Suffolk, VA 23434-8470
Mailing address
1009 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 668-2250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194967901 | Medicaid | VA | |
| 541778786 | Other | TRICARE | |
| 7000502 | Medicaid | NC |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165685 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba General Booth Pediatrics
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1194967901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348470",
"telephone_number": "757-668-2250",
"fax_number": "757-668-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348470",
"telephone_number": "757-668-2250",
"fax_number": "757-668-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMOTTE",
"first_name": "BERNADETTE",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024165685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194967901",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541778786",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000502",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.