Letisha A. Garth-Villes, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902844 Issued in MS

Practice address

1359 Gloria TRL NE
Brookhaven, MS 39601-9572

Phone

(601) 748-0405

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Letisha Villes Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1164902482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 GLORIA TRL NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396019572",
            "telephone_number": "601-748-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 GLORIA TRL NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396019572",
            "telephone_number": "601-748-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTH-VILLES",
        "first_name": "LETISHA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETISHA",
            "last_name": "VILLES",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Gaines, LCSW
• Emily Catherine Gandenberger, CPNP-PC
• Joseph Phillip Garbo, DPM
• Abby Furr Garcia, PHARM D.
• Caycee Garrett, NP
• Karla Adams Gerald, FNP
• Giust Chiropractic Center, P.a.
• Mark Steven Giust, D.C.
• Bobbi Burns Gordon, LPC
• Daniel Ben Goza, CRNA

• Family Nurse Practitioner in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.