Individual provider Active NPI

Lauren M Nutile, MD

  • Psychiatry Physician
  • Glen Allen, VA
National Provider Identifier
1225563109
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101265604 Issued in VA
Practice address
10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9277
Phone
(804) 207-6737
Fax
(804) 655-5994
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101265604 VA Primary

Addresses

Primary practice location

10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9277

Mailing address

10900 Nuckols Rd Ste 100
Glen Allen, VA 23060-9277
Phone (804) 207-6737

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122003720 VA Practitioner - Psychiatry 6507137296 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Psychiatry CurrentSince Jul 10, 2025 Accepting new patients
MCV Associated Physicians Psychiatry CurrentSince Oct 3, 2022 Accepting new patients

Locations

10900 Nuckols Rd
Ste 100
Glen Allen, VA 23060
Phone (804) 215-3839

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.laurennutile@134000.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1225563109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609277",
            "telephone_number": "804-207-6737",
            "fax_number": "804-655-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609277",
            "telephone_number": "804-207-6737",
            "fax_number": "804-655-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTILE",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.