Active NPI
Laura Titchenell, FNP
- Family Nurse Practitioner
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024171126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Loudoun, Virginia | Current | Accepting new patients | |
| Elevera Health, LLC | Family | Current | Accepting new patients |
| County of Loudoun, Virginia | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Leesburg, VA
- NPI 1386753291
-
- Family Nurse Practitioner
- Aldie, VA
- NPI 1871349258
-
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1588353569
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.