Individual provider Active NPI

Lawrence Ray Palmiter Jr., FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1770095580
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175575 Issued in VA
Practice address
502 Viking Dr Ste 200
Virginia Beach, VA 23452-7460
Phone
(757) 213-3333
NPI assigned
Nov 2, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0024175575 VA Primary

Addresses

Primary practice location

502 Viking Dr Ste 200
Virginia Beach, VA 23452-7460

Mailing address

502 Viking Dr Ste 200
Virginia Beach, VA 23452-7460
Phone (757) 213-3333

Other practice location 1

4808 Courthouse St Ste 203
Williamsburg, VA 23188-2684
Phone (757) 213-3333

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
I20180320000246 VA Practitioner - Nurse Practitioner 1850653452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175575VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gershon Pain Specialists, LLC CurrentSince Feb 22, 2022 Accepting new patients
Gershon Pain Specialists, LLC CurrentSince Feb 22, 2022 Accepting new patients
Renewed Vitality & Age Management, PLLC Current Accepting new patients
Hormone Health and Weight Loss Past Accepting new patients

Locations

1133 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 496-2050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1684/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lawrence.palmiter.1@1684.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770095580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 VIKING DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527460",
            "telephone_number": "757-213-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 VIKING DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527460",
            "telephone_number": "757-213-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4808 Courthouse St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882684",
            "country_code": "US",
            "telephone_number": "757-213-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMITER",
        "first_name": "LAWRENCE",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.