Individual provider Active NPI

Lillian Searls, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1245919828
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2023032412 Issued in VA
Practice address
3736 Winterfield Rd
Midlothian, VA 23113-9235
Phone
(804) 460-6550
NPI assigned
Jul 12, 2023
Reactivated
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2023032412 VA Primary

Addresses

Primary practice location

3736 Winterfield Rd
Midlothian, VA 23113-9235

Mailing address

3736 Winterfield Rd
Midlothian, VA 23113-9235

Other practice location 1

5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone (804) 287-7804

Other names 1

  • Lillian Facka Former name

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
I20240117000458 VA Practitioner - Nurse Practitioner 3476905316 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023032412VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jul 14, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Current Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jul 14, 2024 Accepting new patients
Affinity Care of Virginia LLC PastSince Oct 1, 2020 Accepting new patients

Locations

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 209
Richmond, VA 23226
Phone (804) 285-1722

Organizations & group practices 6

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1245919828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 WINTERFIELD RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 WINTERFIELD RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139235",
            "telephone_number": "804-460-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5875 Bremo Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261934",
            "country_code": "US",
            "telephone_number": "804-287-7804",
            "fax_number": "804-287-7178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARLS",
        "first_name": "LILLIAN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "deactivation_date": "2023-11-15",
        "reactivation_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "2023032412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "FACKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.