Individual provider Active NPI

Carol Lund, PA

  • Physician Assistant
  • Colonial Heights, VA
National Provider Identifier
1235379363
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002947 Issued in VA
Practice address
2552 Aldridge Ave
Colonial Heights, VA 23834-5306
Phone
(804) 526-7990
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002947 VA Primary

Addresses

Primary practice location

2552 Aldridge Ave
Colonial Heights, VA 23834-5306

Mailing address

4025 Riverplace Ter
Glen Allen, VA 23059-5656

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
I20090623000331 VA Practitioner - Physician Assistant 9931250404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002947VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 23, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

Interoperability endpoints

  • Direct secure messaging: carol.lund.1@27370.direct.athenahealth.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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1235379363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RIVERPLACE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 ALDRIDGE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345306",
            "telephone_number": "804-526-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "CAROL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.