Individual provider Active NPI

Robert Lacy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopewell, VA
National Provider Identifier
1992604649
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024199472 Issued in VA
Practice address
508 S 17TH Ave
Hopewell, VA 23860-4512
Phone
(804) 636-7104
Fax
(804) 636-7160
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024199472 VA Primary

Addresses

Primary practice location

508 S 17TH Ave
Hopewell, VA 23860-4512

Mailing address

1860 Berkeley Ave
Petersburg, VA 23805-2803
Phone (804) 728-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1992604649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BERKELEY AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052803",
            "telephone_number": "804-728-8205",
            "fax_number": "804-728-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S 17TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238604512",
            "telephone_number": "804-636-7104",
            "fax_number": "804-636-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "ROBERT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024199472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.