NPIMap

Individual provider Active NPI

Gernita Lazale Lee, D.N.P.

  • Adult Health Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1831574177
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024172803 Issued in VA
Practice address
50 Medical Park Blvd Ste C
Petersburg, VA 23805-9275
Phone
(804) 733-8821
Fax
(804) 861-4365
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024172803 VA
Family Nurse Practitioner 363LF0000X 0024172803 VA
Gerontology Nurse Practitioner 363LG0600X 0024172803 VA
Adult Health Nurse Practitioner 363LA2200X 0024172803 VA Primary

Addresses

Primary practice location

50 Medical Park Blvd Ste C
Petersburg, VA 23805-9275

Mailing address

3850 Gaskins Rd Ste 210
Richmond, VA 23233-1447
Phone (804) 500-1400

Other practice location 1

3850 Gaskins Rd Ste 210
Richmond, VA 23233-1447
Phone (804) 500-1400 ext. 401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000156 VA Practitioner - Nurse Practitioner 0547560930 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC CurrentSince Oct 6, 2024 Accepting new patients
Vpa PC CurrentSince Aug 23, 2017 Accepting new patients
Vpa PC CurrentSince Aug 23, 2017 Accepting new patients
Carelon Medical Partners, PC CurrentSince Apr 1, 2019 Accepting new patients
Foot Center Inc CurrentSince Dec 1, 2023 Accepting new patients
Legacy Care Aco LLC CurrentSince Jul 1, 2024 Accepting new patients
Legacy Care LLC CurrentSince Jul 1, 2024 Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

46 Diamond Dr
North Dinwiddie, VA 23803
Phone (804) 518-0780

50 Medical Park Blvd
Ste C
Petersburg, VA 23805
Phone (804) 733-8821

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

5311 Patterson Ave
Ste 110
Richmond, VA 23226
Phone (804) 285-1523

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Interoperability endpoints

  • Direct secure messaging: glee2698465@direct.bsmhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1831574177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 GASKINS RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331447",
            "telephone_number": "804-500-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK BLVD STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059275",
            "telephone_number": "804-733-8821",
            "fax_number": "804-861-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Gaskins Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331447",
            "country_code": "US",
            "telephone_number": "804-500-1400 x401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GERNITA",
        "middle_name": "LAZALE",
        "name_prefix": "Dr.",
        "credential": "D.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024172803",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172803",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024172803",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.