Individual provider Active NPI

Leticia Duah

  • Registered Nurse
  • Springfield, VA
National Provider Identifier
1780938332
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001162870 Issued in VA
Practice address
8551 Newington Forest Court
Springfield, VA 22151
Phone
(703) 400-3625
Fax
(703) 455-7012
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001162870 VA Primary
Registered Nurse 163W00000X 67671 DC

Addresses

Primary practice location

8551 Newington Forest Court
Springfield, VA 22151

Mailing address

8551 Newington Forest CT
Springfield, VA 22153-2231
Phone (703) 400-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
67671DCMDRegistered Nurse
0001162870VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1780938332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 NEWINGTON FOREST CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532231",
            "telephone_number": "703-400-3625",
            "fax_number": "703-455-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 NEWINGTON FOREST COURT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-400-3625",
            "fax_number": "703-455-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUAH",
        "first_name": "LETICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001162870",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "67671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.