Jennifer Lynn Ladeveze, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175425 Issued in VA

Practice address

2900 Sabre St Ste 300
Virginia Beach, VA 23452-7380

Phone

(757) 222-0300

NPI assigned

Jan 2, 2018

Last updated

Jan 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tidewater Family Practice, P.C.

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1750462628
  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  VA

  Medicare reassignment NPD
• Legacy Care Aco LLC

  • Family Medicine Physician
  • Virginia BCH, VA
  • NPI 1538844857
  NPD

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1629585435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 HAVILAND DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546704",
            "telephone_number": "757-646-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SABRE ST STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527380",
            "telephone_number": "757-222-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADEVEZE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Amari Lacy
• Kristie Leigh Lacy
• Constance C Ladd
• Cathi M Laderberg, MS,CCC-SLP
• Steven Michael Laderberg, O.D.
• Brooke Ladyman, OTR/L
• Taylor Ladyman, OTR/L
• Melinda Lafave, PHARM D
• Brandon Laffoon, DO
• Desmond Lafleur

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.

Verify at the official NPI Registry.