Individual provider Active NPI

Latwanda Tenee Pittman, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1356272926
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024197513 Issued in VA
Practice address
1019 Sawtooth Dr
Suffolk, VA 23434-6766
Phone
(757) 773-6527
NPI assigned
May 25, 2026
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024197513 VA Primary

Addresses

Primary practice location

1019 Sawtooth Dr
Suffolk, VA 23434-6766

Mailing address

1019 Sawtooth Dr
Suffolk, VA 23434-6766
Phone (757) 773-6527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4560 S Blvd
Suite 200
Virginia Beach, VA 23452

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024197513VAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1356272926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 SAWTOOTH DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346766",
            "telephone_number": "757-773-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 SAWTOOTH DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346766",
            "telephone_number": "757-773-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "LATWANDA",
        "middle_name": "TENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024197513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.