Individual provider Active NPI

Lydia A Lartey, FNP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1548858285
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178344 Issued in VA
Practice address
5849 Harbour View Blvd Ste 250
Suffolk, VA 23435-3769
Phone
(757) 312-3033
Fax
(757) 312-3034
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 0024178344 VA Primary

Addresses

Primary practice location

5849 Harbour View Blvd Ste 250
Suffolk, VA 23435-3769

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

113 Gainsborough Sq Ste 400
Chesapeake, VA 23320-1714
Phone (757) 842-4499

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
I20210827000880 VA Practitioner - Nurse Practitioner 4688079742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Community Health Center Inc CurrentSince Jan 2, 2025 Accepting new patients
Portsmouth Community Health Center, Inc. Family Current Accepting new patients
Portsmouth Community Health Center Inc CurrentSince Jan 2, 2025 Accepting new patients

Locations

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

1541 High St
Portsmouth, VA 23704
Phone (757) 393-6363

664 Lincoln St
Portsmouth, VA 23704
Phone (757) 393-6363

Organizations & group practices 3

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1548858285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 HARBOUR VIEW BLVD STE 250",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353769",
            "telephone_number": "757-312-3033",
            "fax_number": "757-312-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Gainsborough Sq Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201714",
            "country_code": "US",
            "telephone_number": "757-842-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARTEY",
        "first_name": "LYDIA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.