Individual provider Active NPI

Patricia Hardy Lavinus, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, VA
National Provider Identifier
1215228879
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169319 Issued in VA
Practice address
11102 Rabbit Ridge Rd
Chesterfield, VA 23838-8923
Phone
(804) 387-5820
NPI assigned
Apr 29, 2011
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169319 VA Primary

Addresses

Primary practice location

11102 Rabbit Ridge Rd
Chesterfield, VA 23838-8923

Mailing address

11102 Rabbit Ridge Rd
Chesterfield, VA 23838-8923
Phone (804) 748-8175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000647 VA Practitioner - Nurse Practitioner 2769660893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169319VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Chesterfield PC CurrentSince Sep 18, 2024 Accepting new patients
Premise Health of Virginia Medical PC Past Accepting new patients

Locations

13911 St Francis Blvd
Midlothian, VA 23114
Phone (804) 320-3999

13911 St Francis Blvd
#101
Midlothian, VA 23114
Phone (804) 320-3999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1215228879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11102 RABBIT RIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238388923",
            "telephone_number": "804-748-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 RABBIT RIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238388923",
            "telephone_number": "804-387-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINUS",
        "first_name": "PATRICIA",
        "middle_name": "HARDY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.