Active NPI
Heidi Joy Lazos, AGNP
- Gerontology Nurse Practitioner
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024176874
- Practice address
- 5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629 - Phone
- (757) 473-3969
- Fax
- (757) 506-0157
- NPI assigned
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024176874 | VA | Primary |
Addresses
Primary practice location
5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629
Mailing address
5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629
Phone (757) 473-3969
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.09 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 64.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Jencare Neighborhood Medical Center Virginia Beach LLC | Current | Accepting new patients | |
| Bruce J Kleiman MD PC | Current | Accepting new patients | |
| Coastal Healthcare PLC | Current | Accepting new patients | |
| Jencare Neighborhood Medical East Richmond, LLC | Past | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
900 London Blvd
Portsmouth, VA 23704
Phone (757) 393-6864
3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143
5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699
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.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1043524333
-
- Home Health Agency
- Hayes, VA
- NPI 1417635061
-
- Non-Pharmacy Dispensing Site
- Virginia Beach, VA
- NPI 1770924789
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1891089454
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1386115178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625629",
"telephone_number": "757-473-3969",
"fax_number": "757-506-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625629",
"telephone_number": "757-473-3969",
"fax_number": "757-506-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZOS",
"first_name": "HEIDI",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024176874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.