Dexter Shabazz Lett, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024184489 Issued in VA

Practice address

6960 Forest Hill Ave Ste B
Richmond, VA 23225-1606

Phone

(804) 219-9519

Fax

(804) 293-3934

NPI assigned

Aug 15, 2017

Reactivated

Jun 14, 2022

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lett Medical Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1194440503
  Medicare reassignment NPD Authorized official
• Trinity Care LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1881044790
  NPD
• Crossroads Treatment Center of Petersburg, PC

  dba Crossroads Treatment Center of Petersburg

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Prince George, VA
  • NPI 1699218669
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1245756964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WINESAP DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315147",
            "telephone_number": "804-219-9519",
            "fax_number": "804-293-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 FOREST HILL AVE STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251606",
            "telephone_number": "804-219-9519",
            "fax_number": "804-293-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "DEXTER",
        "middle_name": "SHABAZZ",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "deactivation_date": "2022-05-17",
        "reactivation_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001228602",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Deshields Lester, M.D.
• Sarah Vance Lester, RDH
• David J Leszczyszyn, M.D.
• Lindsey C Letlow, DO
• Lett Medical Group LLC
• James L Levenson, M.D.
• Zoe Amanda Levenson, LCSW
• Alexander Taylor Leverty, LCSW
• Levi 2 LLC
• Franklin L. Levin, O.D.,P.C.

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.