Individual provider Active NPI

Letitia Elizabeth Meyer, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1467978189
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10150 Issued in AZ
Practice address
60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126
Phone
(602) 269-6011
Fax
(602) 926-2551
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 10150 AZ Primary

Addresses

Primary practice location

60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126

Mailing address

7513 E Polk St
Scottsdale, AZ 85257-4357

Other practice location 1

7513 E Polk St
Scottsdale, AZ 85257-4357
Phone (602) 770-5355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmeyer360024@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211115001672 NC Practitioner - Nurse Practitioner 5890050561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

748 Kenansville Byp
Kenansville, NC 28349-9064
Phone (910) 296-8080

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10150AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health-Bertie CurrentSince Mar 12, 2023 Accepting new patients
East Carolina Health-Bertie CurrentSince Mar 12, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Piller Child Development LLC PastSince Nov 1, 2017 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

748 Kenansville Byp
Kenansville, NC 28349
Phone (910) 275-0050

125 River Vine Pkwy
Wallace, NC 28466
Phone (910) 285-2134

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Organizations & group practices 5

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1467978189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 E POLK ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E RIO SALADO PKWY STE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819126",
            "telephone_number": "602-269-6011",
            "fax_number": "602-926-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7513 E Polk St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852574357",
            "country_code": "US",
            "telephone_number": "602-770-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "LETITIA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "10150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmeyer360024@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.