Individual provider Active NPI

Laura Titchenell, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1255648937
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171126 Issued in VA
Practice address
102 Heritage Way NE Ste 100
Leesburg, VA 20176-4544
Phone
(703) 777-0236
Fax
(703) 771-5393
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 0024171126 VA Primary

Addresses

Primary practice location

102 Heritage Way NE Ste 100
Leesburg, VA 20176-4544

Mailing address

43849 Delightful PL
Ashburn, VA 20147-3800
Phone (626) 264-0002

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711002587 VA Practitioner - Nurse Practitioner 2062927825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia Current Accepting new patients
Elevera Health, LLC Family CurrentSince Apr 28, 2024 Accepting new patients
County of Loudoun, Virginia CurrentSince Feb 9, 2025 Accepting new patients

Locations

45201 Research Pl
Ste 120
Ashburn, VA 20147
Phone (703) 777-0236

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

102 Heritage Way NE
Ste 100
Leesburg, VA 20176
Phone (703) 777-0236

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1255648937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43849 DELIGHTFUL PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473800",
            "telephone_number": "626-264-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HERITAGE WAY NE STE 100",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764544",
            "telephone_number": "703-777-0236",
            "fax_number": "703-771-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITCHENELL",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.