Active NPI
Lauren J Threatt, NP
- Nurse Practitioner
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024180734
- Practice address
- 13572 Waterford PL
Midlothian, VA 23112-3928 - Phone
- (804) 560-8782
- NPI assigned
- Jan 14, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024180734 | VA | Primary |
Addresses
Primary practice location
13572 Waterford PL
Midlothian, VA 23112-3928
Mailing address
12331 Hulsey Dr
Chesterfield, VA 23838-2970
Phone (804) 683-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210201001329 | VA | Practitioner - Nurse Practitioner | 5799199857 | Reassigns benefits to 3 organizations |
| I20220204000864 | DC | Practitioner - Nurse Practitioner | 5799199857 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180734 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Intensivist Services PC | Current | Accepting new patients | |
| Virginia Internal Medicine Inc | Current | Accepting new patients | |
| Cardiology of Virginia, Inc. | Current | Accepting new patients |
Locations
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200
3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108
3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488
13572 Waterford Pl
Midlothian, VA 23112
Phone (804) 560-8782
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 3
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": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1366031387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12331 HULSEY DR",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238382970",
"telephone_number": "804-683-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13572 WATERFORD PL",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123928",
"telephone_number": "804-560-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREATT",
"first_name": "LAUREN",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024180734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.