Individual provider Active NPI

Fredilynn Paleracio Lansangan, NP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1891895785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166928 Issued in VA
Practice address
160 Kingsley LN
Suite 103
Norfolk, VA 23505-4600
Phone
(757) 889-6677
Fax
(757) 889-6652
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0024166928 VA Primary

Addresses

Primary practice location

160 Kingsley LN
Suite 103
Norfolk, VA 23505-4600

Mailing address

160 Kingsley LN
Suite 103
Norfolk, VA 23505-4600
Phone (757) 889-6677

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
I20200507001546 VA Practitioner - Nurse Practitioner 8921246547 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166928VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Consultants of Tidewater CurrentSince Jan 15, 2020 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Virginia Medical Specialist, PLC PastSince Apr 25, 2021 Accepting new patients

Locations

933 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 409-0648

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891895785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE 103",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-889-6677",
            "fax_number": "757-889-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE 103",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-889-6677",
            "fax_number": "757-889-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSANGAN",
        "first_name": "FREDILYNN",
        "middle_name": "PALERACIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.