Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christina Lack, FNP-C

Individual provider Nurse Practitioner · NPI 1053892844

Christina Lack, FNP-C is a Nurse Practitioner in Richmond, Virginia. Qualified in 2018, 8 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5855 Bremo Rd Ste 208
Richmond, VA 23226-1922
Phone: (804) 287-7574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024176541 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024176541 (VA)

Record details

NPI number1053892844
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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