Individual provider Active NPI

Laura Poole

  • Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1952855272
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173812 Issued in VA
Practice address
1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225-5513
Phone
(804) 410-9749
Fax
(804) 272-3498
NPI assigned
Aug 4, 2016
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173812 VA Primary

Addresses

Primary practice location

1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225-5513

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Other identifiers 1

IdentifierTypeStateIssuer
C06115OtherVAGROUP PTAN

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
I20161115000739 VA Practitioner - Nurse Practitioner 9032498001 Reassigns benefits to 1 organization

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
Virginia Arrhythmia Consultants PLLCGroup PAC ID 9133453293, 6 clinicians

Practice addresses (Care Compare)

1001 Boulders Pkwy
Suite 110
North Chesterfield, VA 23225-5513
Phone (804) 410-9749

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024173812VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Arrhythmia Consultants PLLC CurrentSince May 1, 2022 Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients

Locations

1001 Boulders Pkwy
Ste 110
North Chesterfield, VA 23225
Phone (804) 410-9749

7605 Forest Ave
Ste 410
Richmond, VA 23229
Phone (804) 285-1833

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18706/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.poole.1@18706.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1952855272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOULDERS PKWY STE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255513",
            "telephone_number": "804-410-9749",
            "fax_number": "804-272-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.