Individual provider Active NPI

Lauren Backy, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Fredericksburg, VA
National Provider Identifier
1497129134
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024173062 Issued in VA
Practice address
1101 Sam Perry Blvd
Suite 401
Fredericksburg, VA 22401-4467
Phone
(540) 940-2000
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024173062 VA
Advanced Practice Midwife 367A00000X 0024173062 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Suite 401
Fredericksburg, VA 22401-4467

Mailing address

18315 Congressional Cir
Ruther Glen, VA 22546-2957
Phone (804) 405-3030

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
I20160125000019 VA Practitioner - Nurse Practitioner 8325341415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

4710 Spotsylvania Pkwy
Suite 206
Fredericksburg, VA 22407-9433
Phone (540) 940-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173062VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Jul 15, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 15, 2024 Accepting new patients

Locations

1101 Sam Perry Blvd
Ste 401
Fredericksburg, VA 22401
Phone (540) 899-5864

4710 Spotsylvania Pkwy
Ste 206
Fredericksburg, VA 22407
Phone (540) 741-0460

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: lauren.backy.1@21079.direct.athenahealth.com
  • Direct secure messaging: lbacky14457@marywashingtonhealthcare.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1497129134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 CONGRESSIONAL CIR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462957",
            "telephone_number": "804-405-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 401",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-940-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKY",
        "first_name": "LAUREN",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024173062",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024173062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.