Individual provider Active NPI

Mitzi Le, FNP-C, ENP-C

  • Family Nurse Practitioner
  • King George, VA
National Provider Identifier
1003736505
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024196132 Issued in VA
Practice address
11131 Journal Pkwy Ste a
King George, VA 22485-3468
Phone
(540) 741-6982
NPI assigned
Jul 16, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024196132 VA Primary

Addresses

Primary practice location

11131 Journal Pkwy Ste a
King George, VA 22485-3468

Mailing address

7552 Navarre Pkwy Unit 62
Navarre, FL 32566-7305
Phone (850) 298-8429

Other practice location 1

10 Stafford Lakes Pkwy Ste 102
Fredericksburg, VA 22406-7305
Phone (540) 741-6982

Other practice location 2

955 Wonder Rd Ste C
Stafford, VA 22554-7798
Phone (540) 741-7890

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

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1003736505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 62",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-298-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 JOURNAL PKWY STE A",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853468",
            "telephone_number": "540-741-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Stafford Lakes Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224067305",
            "country_code": "US",
            "telephone_number": "540-741-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Wonder Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225547798",
            "country_code": "US",
            "telephone_number": "540-741-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MITZI",
        "credential": "FNP-C, ENP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.