Active NPI
Marina Shores OB/GYN
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101256943
- Legal business name
- MARINA SHORES OB/GYN
- Practice address
- 2865 Lynnhaven Dr
Suite 4a
Virginia Beach, VA 23451-1542 - Phone
- (757) 496-5000
- NPI assigned
- Jan 5, 2017
- Last updated
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lani Marie Warren, MD
- Title
- OB/GYN Physician
- Phone
- (757) 496-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0101256943 | VA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 0101256943 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101256943 | VA | Primary |
Addresses
Primary practice location
2865 Lynnhaven Dr
Suite 4a
Virginia Beach, VA 23451-1542
Mailing address
2865 Lynnhaven Dr
Suite 4a
Virginia Beach, VA 23451-1542
Phone (757) 496-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417492034 | Other | VA | GROUP- NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2165180 | Marina Shores OB/GYN | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
2865 Lynnhaven Dr
Ste A3
Virginia Beach, VA 23451
Phone (757) 496-5000
2865 Lynnhaven Dr
Ste A4
Virginia Beach, VA 23451
Phone (757) 496-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1497831887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1417492034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 LYNNHAVEN DR",
"address_2": "SUITE 4A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511542",
"telephone_number": "757-496-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 LYNNHAVEN DR",
"address_2": "SUITE 4A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511542",
"telephone_number": "757-496-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA SHORES OB/GYN",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "LANI",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OB/GYN PHYSICIAN",
"authorized_official_telephone_number": "757-496-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0101256943",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "VA",
"license": "0101256943",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101256943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP- NPI",
"identifier": "1417492034",
"state": "VA"
}
],
"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 Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.