NPIMap

Individual provider Active NPI

Laura Polliard, NP

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1356711501
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024172897 Issued in VA
Practice address
7001 Forest Ave
Suite 103
Richmond, VA 23230-1726
Phone
(804) 287-3550
Fax
(804) 281-7840
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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 0024172897 VA Primary

Addresses

Primary practice location

7001 Forest Ave
Suite 103
Richmond, VA 23230-1726

Mailing address

217 Lexington Dr
Ruther Glen, VA 22546-5337
Phone (571) 228-9715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001696 VA Practitioner - Nurse Practitioner 2860793643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours St Marys Hospital of Richmond LLCGroup PAC ID 8527969476, 66 clinicians
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

12310 W Broad St
Suite 204
Richmond, VA 23233-7606
Phone (804) 288-3123

1510 N 28TH St
Richmond, VA 23223-5311

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

5875 Bremo Rd
Richmond, VA 23226-1934

7001 Forest Ave
Richmond, VA 23230-1726

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172897VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jan 11, 2016 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours St Mary'S Hospital of Richmond LLC CurrentSince Jan 11, 2016 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

7001 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-3123

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

7001 Forest Ave
Ste 103
Richmond, VA 23230
Phone (804) 285-6811

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

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

12320 W Broad St
Ste 203
Richmond, VA 23233
Phone (804) 923-7369

Interoperability endpoints

  • Direct secure messaging: lpolliard1154737@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1356711501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LEXINGTON DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465337",
            "telephone_number": "571-228-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE",
            "address_2": "SUITE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-287-3550",
            "fax_number": "804-281-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLIARD",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024172897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.