Active NPI
Letisha Driskell, FNP-BC
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TEMP338183
- Practice address
- 11240 N 19TH Ave Ste 23
Phoenix, AZ 85029-4825 - Phone
- (425) 243-3719
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024194261 | VA | |
| Nurse Practitioner | 363L00000X | TEMP338183 | AZ | Primary |
Addresses
Primary practice location
11240 N 19TH Ave Ste 23
Phoenix, AZ 85029-4825
Mailing address
7421 S 23Rd Dr
Phoenix, AZ 85041-5483
Other practice location 1
230 Browns Way Rd
Midlothian, VA 23114-9501
Phone (804) 419-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone (757) 276-5022
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 276-5020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Alliance Services Inc | Current | Accepting new patients | |
| Midlothian Medi LLC | Past | Accepting new patients |
Locations
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1952892028
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alexandria, VA
- NPI 1417680612
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1760051502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1073499307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 S 23RD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 N 19TH AVE STE 23",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294825",
"telephone_number": "425-243-3719"
}
],
"practiceLocations": [
{
"address_1": "230 Browns Way Rd",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231149501",
"country_code": "US",
"telephone_number": "804-419-9101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRISKELL",
"first_name": "LETISHA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024194261",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "TEMP338183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.