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MARINA SHORES OB/GYN
NPI 1417492034
Obstetrics & Gynecology in Virginia Beach, VA

Active since January 05, 2017CLIA 49D2165180 · Waiver
2865 LYNNHAVEN DR, SUITE 4A, VIRGINIA BEACH, VA 23451(757) 496-5000 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2017, Jan 5, 2017 (2 updates tracked since 2017).

About Marina Shores Ob/gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA SHORES OB/GYN (NPI 1417492034) is a healthcare organization registered as an obstetrics & gynecology in Virginia Beach, Virginia and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Lani Marie Warren, Ob/gyn Physician, as its authorized official.

NPPES Registry Identity

NPI1417492034
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARINA SHORES OB/GYN
Location Address2865 LYNNHAVEN DR, SUITE 4AVirginia Beach, VA 23451-1542
Mailing Address2865 Lynnhaven Dr, Suite 4aVirginia Beach, VA 23451-1542 · (757) 496-5000
Phone(757) 496-5000
Organization SubpartNo
Authorized OfficialLani Marie WarrenOb/gyn Physician · (757) 496-5000
Enumeration DateJanuary 5, 2017
Last NPPES UpdateMarch 24, 20172 updates tracked since enumeration
✔ NPI 1417492034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101256943
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0101256943 (VA)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 0101256943 (VA)
2865 LYNNHAVEN DR, Virginia Beach, VA 23451
Open in Google Maps ↗

Other Identifiers 1

Other1417492034VA · Group- Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2165180

Marina Shores Ob/Gyn · Virginia Beach, VA
Active · expires Apr 22, 2027
CLIA Number49D2165180
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorLani M. Warren
Laboratory Phone(757) 496-5000
Laboratory LocationMarina Shores Ob/Gyn2865 Lynnhaven Dr Suite A4, Virginia Beach, VA 23451
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEMETRIOS P MILONAS DDS
Dentist
2865 LYNNHAVEN DR, SUITE C-4
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 481-3000
SHERYL BROWN
Dentist (General Practice)
2865 LYNNHAVEN DR, SUITE C-4
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 481-3000
GOOD NEIGHBOR DENTAL AT GREAT NECK
Dentist
2865 LYNNHAVEN DR, SUITE C-4
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 481-3000
LANI MARIE WARREN M,D.
Obstetrics & Gynecology
2865 LYNNHAVEN DR, SUITE 3A
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 496-5000
MARIAH ANTOINE WHNP-BC
Nurse Practitioner (Women's Health)
2865 LYNNHAVEN DR
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 496-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Shores Ob/Gyn's NPI number?

The NPI number for Marina Shores Ob/Gyn is 1417492034. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Marina Shores Ob/Gyn located?

Marina Shores Ob/Gyn is located at 2865 Lynnhaven Dr Suite 4A, Virginia Beach, VA 23451. The listed phone number is (757) 496-5000.

What is Marina Shores Ob/Gyn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Marina Shores Ob/Gyn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2165180) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marina Shores Ob/Gyn was last updated on March 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.