Individual provider Active NPI

Laura Biazon, FNP-BC

  • Family Nurse Practitioner
  • Raphine, VA
National Provider Identifier
1487324307
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182549 Issued in VA
Practice address
25 Commerce Park Dr
Raphine, VA 24472-2547
Phone
(540) 490-2527
NPI assigned
Sep 14, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182549 VA Primary

Addresses

Primary practice location

25 Commerce Park Dr
Raphine, VA 24472-2547

Mailing address

105 Amherst CMN
Charlottesville, VA 22903-5170
Phone (443) 254-8893

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519000576 VA Practitioner - Nurse Practitioner 1658758370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024182549VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 10, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 10, 2022 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

25 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1487324307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AMHERST CMN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035170",
            "telephone_number": "443-254-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMERCE PARK DR",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "244722547",
            "telephone_number": "540-490-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAZON",
        "first_name": "LAURA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raphine, VA

Sources for this page

Verify at the official NPI Registry.