Active NPI
Lateesha Gattis
- Pharmacist
- Fredericksburg, VA
National Provider Identifier
1811282015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207899
- Practice address
- 1800 Carl D Silver Pkwy
Fredericksburg, VA 22401-4960 - Phone
- (540) 786-2197
- Fax
- (540) 786-2350
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207899 | VA | Primary |
Addresses
Primary practice location
1800 Carl D Silver Pkwy
Fredericksburg, VA 22401-4960
Mailing address
1800 Carl D Silver Pkwy
Fredericksburg, VA 22401-4960
Phone (703) 586-6133
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207899 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1811282015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CARL D SILVER PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014960",
"telephone_number": "703-586-6133",
"fax_number": "703-586-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CARL D SILVER PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014960",
"telephone_number": "540-786-2197",
"fax_number": "540-786-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTIS",
"first_name": "LATEESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.