Lara Shani Kain, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001645 Issued in VA

Practice address

117 W 21St St Ste 205
Norfolk, VA 23517-2246

Phone

(757) 603-4604

Fax

(757) 210-4360

NPI assigned

Sep 20, 2006

Last updated

Mar 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Torch Wellness

  • Physician Assistant
  • Norfolk, VA
  • NPI 1396482261
  NPD Authorized official
• Torch Wellness Center, LLC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1568332252
  NPD Authorized official
• Dr King-Jones and Associates

  • Psychiatry Physician
  • Chesapeake, VA
  • NPI 1871692012
  Medicare reassignment
• Behavioral Health Associates LTC

  dba Comprehensive Mental Health Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesapeake, VA
  • NPI 1851485718
  NPD (past)
• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1760580534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9629 SELBY PL",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235031717",
            "telephone_number": "757-639-6858",
            "fax_number": "757-547-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 21ST ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172246",
            "telephone_number": "757-603-4604",
            "fax_number": "757-210-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIN",
        "first_name": "LARA",
        "middle_name": "SHANI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishraq Khan Kabir, M.D.
• Laura Christine Kabir, AGACNP
• Harvey Jay Kagan, M.D.
• Dilrukshie Maria Kahatapitiya, NP
• Ravindra C Kahatapitiya, DO
• John T Kalafsky, M.D.
• Scott Kalis, MSHS, NRP
• Yury Kalmanovich, MD
• Rajeshwari Kaloji, M.D.
• Amy M Kam, RPH

• Physician Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.