Individual provider Active NPI

Lynn J Berkhimer

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1700812344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024000014 Issued in VA
Practice address
5501 Greenwich Rd
Suite 200
Virginia Beach, VA 23462-6540
Phone
(757) 502-8570
Fax
(757) 490-4878
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024000014 VA Primary

Addresses

Primary practice location

5501 Greenwich Rd
Suite 200
Virginia Beach, VA 23462-6540

Mailing address

5501 Greenwich Rd
Suite 200
Virginia Beach, VA 23462-6540
Phone (757) 502-8570

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024000014VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Works, Inc. Past Accepting new patients
Jordan-Young Inst for Joint Reconstruction and Sports Medicine, LLC PastSince Dec 18, 2012 Accepting new patients
Virginia Oncology Associates Past Accepting new patients

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700812344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 GREENWICH RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626540",
            "telephone_number": "757-502-8570",
            "fax_number": "757-490-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 GREENWICH RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626540",
            "telephone_number": "757-502-8570",
            "fax_number": "757-490-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKHIMER",
        "first_name": "LYNN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.