Active NPI
Shrylock Heath Lumbao
- Family Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1801726658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0001283534
- Practice address
- 3921 Prosperity Ave
Fairfax, VA 22031-3329 - Phone
- (703) 280-0237
- NPI assigned
- May 22, 2026
- Last updated
- Jun 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0001283534 | VA | Primary |
Addresses
Primary practice location
3921 Prosperity Ave
Fairfax, VA 22031-3329
Mailing address
3921 Prosperity Ave
Fairfax, VA 22031-3329
Phone (703) 280-0237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001283534 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1801726658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 PROSPERITY AVE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313329",
"telephone_number": "703-280-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 PROSPERITY AVE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313329",
"telephone_number": "703-280-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMBAO",
"first_name": "SHRYLOCK",
"middle_name": "HEATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0001283534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.