Active NPI
Kathleen Lazzaro, ED.S.
- School Psychologist
- Richmond, VA
National Provider Identifier
1629577358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2401 Hartman St
Richmond, VA 23223-2458 - Phone
- (804) 343-6500
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | VA | Primary |
Addresses
Primary practice location
2401 Hartman St
Richmond, VA 23223-2458
Mailing address
715 S Nansemond St
Richmond, VA 23221-3647
Phone (914) 584-7349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0813000660 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1629577358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S NANSEMOND ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232213647",
"telephone_number": "914-584-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 HARTMAN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232458",
"telephone_number": "804-343-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZZARO",
"first_name": "KATHLEEN",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0813000660",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.