Individual provider Active NPI

Lorraine Ann West Hancock, RN, CMT, CIMI (R), C

  • Registered Nurse
  • Springfield, VA
National Provider Identifier
1497984223
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN#0001068875 Issued in VA
Practice address
5417C Backlick Road
Springfield, VA 22151-3915
Phone
(703) 909-0299
Fax
(703) 451-9043
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN#0001068875 VA Primary
Specialist 174400000X #0001900232 VA
Specialist 174400000X #000538 WA

Addresses

Primary practice location

5417C Backlick Road
Springfield, VA 22151-3915

Mailing address

6657 Old Blacksmith Drive
Burke, VA 22015-4139
Phone (703) 909-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN#0001068875VAMDRegistered Nurse
#0001900232VAMDSpecialist
#000538WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Well Being of Burke Inc Past Accepting new patients

Organizations & group practices 1

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1497984223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 OLD BLACKSMITH DRIVE",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154139",
            "telephone_number": "703-909-0299",
            "fax_number": "703-451-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417C BACKLICK ROAD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-909-0299",
            "fax_number": "703-451-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "LORRAINE",
        "middle_name": "ANN WEST",
        "name_prefix": "Mrs.",
        "credential": "RN, CMT, CIMI (R), C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "RN#0001068875",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "#0001900232",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "#000538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.