Individual provider Active NPI

Lo M Lumsden, ANP, EDD

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1508865874
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001055783 Issued in VA
Practice address
816 Independence Blvd Ste 3L
Virginia Beach, VA 23455-6010
Phone
(757) 751-7421
Fax
(757) 937-5970
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0001055783 VA Primary

Addresses

Primary practice location

816 Independence Blvd Ste 3L
Virginia Beach, VA 23455-6010

Mailing address

860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769

Other practice location 1

1147 Independence Blvd
Virginia Beach, VA 23455-5545
Phone (757) 460-1207

Other practice location 2

816 Independence Blvd Ste 3L
Virginia Beach, VA 23455-6010
Phone (757) 751-7421

Other identifiers 1

IdentifierTypeStateIssuer
0001055783OtherVALIC

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
I20120608000378 VA Practitioner - Nurse Practitioner 0042341612 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princess Anne Surgery, P.C. CurrentSince Nov 24, 2019 Accepting new patients

Locations

816 Independence Blvd
Ste 3L
Virginia Beach, VA 23455
Phone (757) 233-2438

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508865874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 3L",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-751-7421",
            "fax_number": "757-937-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234555545",
            "country_code": "US",
            "telephone_number": "757-460-1207",
            "fax_number": "757-460-2136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 Independence Blvd Ste 3L",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556010",
            "country_code": "US",
            "telephone_number": "757-751-7421",
            "fax_number": "757-937-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "LO",
        "middle_name": "M",
        "credential": "ANP, EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001055783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "0001055783",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.