Active NPI
Tamar Christine Ledbetter, M.D., MFT
- Pediatrics Physician
- Fort Eustis, VA
National Provider Identifier
1912915323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101049845
- Practice address
- 576 Jefferson Ave BLDG 576
Fort Eustis, VA 23604-1373 - Phone
- (757) 314-7500
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101049845 | VA | Primary |
Addresses
Primary practice location
576 Jefferson Ave BLDG 576
Fort Eustis, VA 23604-1373
Mailing address
109 Bugle CT
Yorktown, VA 23693-3345
Phone (757) 867-8707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006709796 | Medicaid | VA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200108000985 | VA | Order and Referring Only - Pediatric Medicine | 6103158423 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1912915323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BUGLE CT",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933345",
"telephone_number": "757-867-8707",
"fax_number": "757-838-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE BLDG 576",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041373",
"telephone_number": "757-314-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "TAMAR",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "M.D., MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101049845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006709796",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.