Active NPI
Lois Engelberger, ANP
- Primary Care Nurse Practitioner
- Petersburg, VA
National Provider Identifier
1316925852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0024055877
- Practice address
- CSH 26317 West Washington St..
Petersburg, VA 23803 - Phone
- (804) 524-7129
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0024055877 | VA | Primary |
Addresses
Primary practice location
CSH 26317 West Washington St..
Petersburg, VA 23803
Mailing address
CSH 26317 West Washington St..
Petersburg, VA 23803-6154
Phone (804) 524-7129
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024055877 | VA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1316925852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CSH 26317 WEST WASHINGTON ST..",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238036154",
"telephone_number": "804-524-7129",
"fax_number": "804-796-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CSH 26317 WEST WASHINGTON ST..",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-524-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBERGER",
"first_name": "LOIS",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024055877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
- Empty Arms Outreach Ministry, Inc.
- Encompass Health Rehabilitation Hospital of Petersburg, LLC
- Ende Medical Practice, LLP
- Frederick Ivan Ende, M.D.
- Mark Ende, M.D.
- Envision One
- Envision One Mental Health Skill Building, LLC
- Envision One Outpatient Services, LLC
- Envision One, LLC, Arts
- Ernest Jeter, Msed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.