Active NPI
Aline Marie Bass, LPN
- Licensed Practical Nurse
- Virginia Beach, VA
National Provider Identifier
1912570078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0002095397
- Practice address
- 1728 Virginia Beach Blvd Ste 113
Virginia Beach, VA 23454-4533 - Phone
- (757) 437-0411
- Fax
- (757) 552-0378
- NPI assigned
- Jul 19, 2021
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002095397 | VA | Primary |
Addresses
Primary practice location
1728 Virginia Beach Blvd Ste 113
Virginia Beach, VA 23454-4533
Mailing address
1728 Virginia Beach Blvd
Suite 113
Virginia Beach, VA 23454
Phone (757) 437-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002095397 | Other | VA | LPN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | COMPUTER | Health Information Exchange (HIE) | Sellati & Co., Inc. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002095397 | VA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1912570078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 VIRGINIA BEACH BLVD",
"address_2": "SUITE 113",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-437-0411",
"fax_number": "757-552-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 VIRGINIA BEACH BLVD STE 113",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544533",
"telephone_number": "757-437-0411",
"fax_number": "757-552-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ALINE",
"middle_name": "MARIE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "VA",
"license": "0002095397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "0002095397",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "COMPUTER",
"affiliation": "Y",
"endpointDescription": "COMPUTER",
"affiliationName": "Sellati & Co., Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1728 Virginia Beach Blvd Ste 113",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234544533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.