Individual provider Active NPI

Latoya Shant'E Pitterson, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1861856577
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173438 Issued in VA
Practice address
1080 First Colonial Rd Ste 403
Virginia Beach, VA 23454-2406
Phone
(757) 395-1850
Fax
(855) 707-7855
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024173438 VA
Family Nurse Practitioner 363LF0000X 0024173438 VA Primary

Addresses

Primary practice location

1080 First Colonial Rd Ste 403
Virginia Beach, VA 23454-2406

Mailing address

1080 First Colonial Rd Ste 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850

Other practice location 1

355 Crawford St Ste 102
Portsmouth, VA 23704-2817
Phone (757) 966-1270

Other practice location 2

1405 Kiln Creek Pkwy Ste K
Newport News, VA 23602-9700
Phone (757) 369-5785

Other practice location 3

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 534-6060

Other names 1

  • Latoya Shant'E Kearney Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160829002068 VA Practitioner - Nurse Practitioner 6901191097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1080 1St Colonial Rd
Suite 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173438VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Nov 15, 2017 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Nov 15, 2017 Accepting new patients
Sentara Medical Group CurrentSince Mar 22, 2021 Accepting new patients

Locations

2205 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 223-4992

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

1405 Kiln Creek Pkwy
Ste K
Newport News, VA 23602
Phone (757) 369-5784

827 Diligence Dr
Ste 100
Newport News, VA 23606

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

355 Crawford St
Ste 102
Portsmouth, VA 23704
Phone (757) 232-3321

1020 First Colonial Rd
Ste A
Virginia Beach, VA 23454
Phone (757) 395-5342

1080 First Colonial Rd
Ste 403
Virginia Beach, VA 23454
Phone (757) 496-6537

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 4

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1861856577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 403",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-1850",
            "fax_number": "855-707-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 403",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-1850",
            "fax_number": "855-707-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Crawford St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042817",
            "country_code": "US",
            "telephone_number": "757-966-1270",
            "fax_number": "757-966-2967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Kiln Creek Pkwy Ste K",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236029700",
            "country_code": "US",
            "telephone_number": "757-369-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-534-6060",
            "fax_number": "757-534-5062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTERSON",
        "first_name": "LATOYA",
        "middle_name": "SHANT'E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "KEARNEY",
            "middle_name": "SHANT'E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.