Individual provider Active NPI

Lateefa Coleman, CCC-SLP

  • Speech-Language Pathologist
  • Newport News, VA
National Provider Identifier
1619690674
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006552 Issued in VA
Practice address
1030 Loftis Blvd Ste 103
Newport News, VA 23606-2999
Phone
(757) 720-0099
Fax
(757) 383-7898
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133005426 VA
Speech-Language Pathologist 235Z00000X 2202006552 VA Primary

Addresses

Primary practice location

1030 Loftis Blvd Ste 103
Newport News, VA 23606-2999

Mailing address

1030 Loftis Blvd Ste 103
Newport News, VA 23606-2999
Phone (757) 720-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018003576 VA Practitioner - Qualified Speech Language Pathologist 4385010222 Reassigns benefits to 1 organization
I20230922000085 DC Practitioner - Qualified Speech Language Pathologist 4385010222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202006552VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Oct 3, 2022 Accepting new patients
Autism Therapeutic Services Behavior Analyst PastSince Aug 25, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1619690674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LOFTIS BLVD STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062999",
            "telephone_number": "757-720-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LOFTIS BLVD STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062999",
            "telephone_number": "757-720-0099",
            "fax_number": "757-383-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LATEEFA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133005426",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.