Active NPI
Laura Del Carmen Henriquez, AGACNP
- Acute Care Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024174008
- Practice address
- 1250 E Marshall St
Department of Neurosurgery
Richmond, VA 23298-5051 - Phone
- (804) 828-9165
- Fax
- (804) 828-4493
- NPI assigned
- Sep 27, 2016
- Last updated
- Mar 31, 2022
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024174008 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
Department of Neurosurgery
Richmond, VA 23298-5051
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 828-9165
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174008 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
Organizations & group practices 1
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": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1871042259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-828-9165",
"fax_number": "804-828-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"address_2": "DEPARTMENT OF NEUROSURGERY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985051",
"telephone_number": "804-828-9165",
"fax_number": "804-828-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUEZ",
"first_name": "LAURA",
"middle_name": "DEL CARMEN",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024174008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.