Individual provider Active NPI

Hazel Battle, LPN

  • Licensed Practical Nurse
  • Midlothian, VA
National Provider Identifier
1639798465
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0002099013 Issued in VA
Practice address
13805 Village Mill Dr Ste 203
Midlothian, VA 23114-4304
Phone
(804) 794-6290
Fax
(804) 378-6156
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 0002099013 VA Primary

Addresses

Primary practice location

13805 Village Mill Dr Ste 203
Midlothian, VA 23114-4304

Mailing address

13805 Village Mill Dr Ste 203
Midlothian, VA 23114-4304
Phone (804) 794-6290

Other identifiers 1

IdentifierTypeStateIssuer
1201MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Blessingscomfort-Devine.us Direct

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

State licenses

LicenseStateTypeSpecialty
0002099013VAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1639798465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 VILLAGE MILL DR STE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144304",
            "telephone_number": "804-794-6290",
            "fax_number": "804-378-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13805 VILLAGE MILL DR STE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144304",
            "telephone_number": "804-794-6290",
            "fax_number": "804-378-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "HAZEL",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002099013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Blessingscomfort-Devine.us",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Billing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Billing",
            "address_1": "13805 Village Mill Dr Ste 203",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231144304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.