Individual provider Active NPI

Tina Renee' Lockhart

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1912583717
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024183866 Issued in VA
Practice address
7229 Forest Ave., Ste. 111, Highland II Building
Richmond, VA 23226-3765
Phone
(804) 687-4793
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001189803 VA
Nurse Practitioner 363L00000X 0024183866 VA Primary

Addresses

Primary practice location

7229 Forest Ave., Ste. 111, Highland II Building
Richmond, VA 23226-3765

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (218) 266-4200

Other practice location 1

6006 Topping Ln
Glen Allen, VA 23060-2419
Phone (804) 501-9138

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
I20220908002948 VA Practitioner - Nurse Practitioner 7618351776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Richmond, VA 23226
Phone (804) 687-4793

Hospital & facility affiliations

  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Centerwell Home Health Home health agency, Richmond, VA, CCN 497424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001189803VAMDRegistered Nurse
0024183866VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jul 14, 2024 Accepting new patients
Vpa PC CurrentSince Jul 14, 2024 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: tina.lockhart.1@32913.direct.athenahealth.com

Organizations & group practices 2

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 10

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1912583717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "218-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE., STE. 111, HIGHLAND II BUILDING",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-687-4793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6006 Topping Ln",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230602419",
            "country_code": "US",
            "telephone_number": "804-501-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "TINA",
        "middle_name": "RENEE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001189803",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024183866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.