Individual provider Active NPI

Lorrin Avery Herbert, CFO

  • Orthotic Fitter
  • Virginia Beach, VA
National Provider Identifier
1952866659
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CFO04815 Issued in VA
Practice address
404 Investors PL Ste 104
Virginia Beach, VA 23452-1171
Phone
(757) 275-8050
Fax
(888) 600-5328
NPI assigned
Feb 6, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CFO04815 VA Primary

Addresses

Primary practice location

404 Investors PL Ste 104
Virginia Beach, VA 23452-1171

Mailing address

404 Investors PL Ste 104
Virginia Beach, VA 23452-1171
Phone (757) 275-8050

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

LicenseStateTypeSpecialty
CFO04815VAMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Medical, Inc. PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1952866659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 INVESTORS PL STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521171",
            "telephone_number": "757-275-8050",
            "fax_number": "888-600-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 INVESTORS PL STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521171",
            "telephone_number": "757-275-8050",
            "fax_number": "888-600-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "LORRIN",
        "middle_name": "AVERY",
        "credential": "CFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "VA",
            "license": "CFO04815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.