Individual provider Active NPI

Lindsay Spencer, FNP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1649749250
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176425 Issued in VA
Practice address
3320 Old Halifax Rd
South Boston, VA 24592-4940
Phone
(434) 471-7063
Fax
(434) 471-7024
NPI assigned
Nov 13, 2018
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 0024176425 VA Primary

Addresses

Primary practice location

3320 Old Halifax Rd
South Boston, VA 24592-4940

Mailing address

3320 Old Halifax Rd
South Boston, VA 24592-4940
Phone (434) 471-7063

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
I20190122001609 VA Practitioner - Nurse Practitioner 6406193986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3320 Old Halifax Rd
South Boston, VA 24592-4940
Phone (434) 471-7063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176425VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Nov 21, 2018 Accepting new patients
Hometown Family & Immediate Care LLC Family CurrentSince Mar 19, 2024 Accepting new patients
Velocity Urgent Care, LLC Past Accepting new patients

Locations

1326 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 583-6338

3320 Old Halifax Rd
South Boston, VA 24592
Phone (434) 471-7063

3601 Old Halifax Rd
Ste 100
South Boston, VA 24592
Phone (434) 290-1225

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Interoperability endpoints

  • Direct secure messaging: lindsay.spencer.1@31296.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1649749250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924940",
            "telephone_number": "434-471-7063",
            "fax_number": "434-471-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924940",
            "telephone_number": "434-471-7063",
            "fax_number": "434-471-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LINDSAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.