Active NPI
Lucy Ann Memmo, M.ED.
- Early Intervention Provider Agency
- Richmond, VA
National Provider Identifier
1871826362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- PGP-140514
- Practice address
- 10301 Duryea Dr
Richmond, VA 23235-1707 - Phone
- (804) 327-0266
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | PGP-140514 | VA | Primary |
Addresses
Primary practice location
10301 Duryea Dr
Richmond, VA 23235-1707
Mailing address
10301 Duryea Dr
Richmond, VA 23235-1707
Phone (804) 327-0266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PGP-140514 | VA | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1871826362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 DURYEA DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351707",
"telephone_number": "804-327-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 DURYEA DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351707",
"telephone_number": "804-327-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMMO",
"first_name": "LUCY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "VA",
"license": "PGP-140514",
"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 Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.