Latriece Haskins, ATC, MFP-C

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

88363642 Issued in VA

Practice address

5924 Victoria Park Way
North Chesterfield, VA 23234-5294

Phone

(804) 484-9461

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1730807819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 DARLINGTON RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344610",
            "telephone_number": "804-484-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 VICTORIA PARK WAY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345294",
            "telephone_number": "804-484-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "LATRIECE",
        "name_prefix": "Ms.",
        "credential": "ATC, MFP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "VA",
            "license": "88363642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL FITNESS PRACTITIONER LICENSE NUMBER",
            "identifier": "88363642",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mywelld.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5924 Victoria Park Way",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232345294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Audrey Hart, M. ED.
• Timothy Hartzler, AGACNP-BC
• Kemon Jakim Harvey
• Haselman & Hunt, DDS, PC
• Deqwandra Haskins
• Mary E Hastings, LPC
• Haven Homes LLC
• Hillary S. Hawkins, M.D.
• Jyikayla Antonnae Hayden
• Hayes Enterprise, LLC (Executive Care)

• Clinical Exercise Physiologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Exercise Physiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.