Individual provider Active NPI

Christine K Leitz, P.A

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1376623454
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001346 Issued in VA
Practice address
10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408-8609
Phone
(540) 373-1331
Fax
(540) 373-1124
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001346 VA Primary

Addresses

Primary practice location

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408-8609

Mailing address

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408-8609
Phone (540) 373-1331

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
I20070312000400 VA Practitioner - Physician Assistant 9436147030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1571

10401 Spotsylvania Ave
Fredericksburg, VA 22408-8609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001346VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates of Fredericksburg LTD CurrentSince Aug 29, 2016 Accepting new patients

Locations

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

10401 Spotsylvania Ave
Ste 103
Fredericksburg, VA 22408
Phone (540) 741-0555

5501 Plank Rd
#100
Fredericksburg, VA 22407
Phone (540) 741-3190

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

306 E 6th Ave
Kenbridge, VA 23944
Phone (434) 676-8021

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

114 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-7890

6600 W Broad St
Ste 100
Richmond, VA 23230
Phone (804) 288-4087

12129 Graham Meadows Dr
Richmond, VA 23233

514 W Atlantic St
South Hill, VA 23970
Phone (434) 447-6969

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1376623454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "address_2": "STE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088609",
            "telephone_number": "540-373-1331",
            "fax_number": "540-373-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "address_2": "STE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088609",
            "telephone_number": "540-373-1331",
            "fax_number": "540-373-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITZ",
        "first_name": "CHRISTINE",
        "middle_name": "K",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.