Active NPI
Hazel Battle, LPN
- Licensed Practical Nurse
- Midlothian, VA
National Provider Identifier
1639798465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0002099013
- 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
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1201 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0002099013 | VA | MD | Licensed 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.