Individual provider Active NPI

Lori Waranch Bekenstein, MD

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1316151277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47142 Issued in VA
Practice address
1300 West Broad Street
Sports Medicine Building Suite 2200
Richmond, VA 23284-2022
Phone
(804) 828-8828
Fax
(804) 828-6688
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 47142 VA Primary

Addresses

Primary practice location

1300 West Broad Street
Sports Medicine Building Suite 2200
Richmond, VA 23284-2022

Mailing address

5117 Harvest Glen Drive
Glen Allen, VA 23059
Phone (804) 364-7026

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47142VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Commonwealth University 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316151277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 HARVEST GLEN DRIVE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-364-7026",
            "fax_number": "804-364-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WEST BROAD STREET",
            "address_2": "SPORTS MEDICINE BUILDING SUITE 2200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232842022",
            "telephone_number": "804-828-8828",
            "fax_number": "804-828-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKENSTEIN",
        "first_name": "LORI",
        "middle_name": "WARANCH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "47142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.