Individual provider Active NPI

Latoya Renee Ntlabati, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1942892609
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024180764 Issued in VA
Practice address
11828 Canon Blvd Ste H
Newport News, VA 23606-2554
Phone
(804) 933-6500
Fax
(804) 793-9173
NPI assigned
Feb 4, 2021
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180764 VA Primary

Addresses

Primary practice location

11828 Canon Blvd Ste H
Newport News, VA 23606-2554

Mailing address

276 Patricks Xing
Williamsburg, VA 23185-2606
Phone (313) 759-6717

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
I20210723000040 VA Practitioner - Nurse Practitioner 0446653885 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover County Board of Supervisors CurrentSince Nov 22, 2023 Accepting new patients
Hanover County Board of Supervisors CurrentSince Nov 22, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 16, 2021 Accepting new patients
Sound Mind Restoration and Wellness Center CurrentSince Dec 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 16, 2021 Accepting new patients
Release Wellness PastSince Jun 1, 2024 Accepting new patients

Locations

12300 Washington Hwy
Ashland, VA 23005
Phone (804) 365-4222

8220 Meadowbridge Rd
Ste 313
Mechanicsville, VA 23116
Phone (804) 325-8882

11828 Canon Blvd
Ste H
Newport News, VA 23606
Phone (757) 751-9508

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1942892609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 PATRICKS XING",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852606",
            "telephone_number": "313-759-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD STE H",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554",
            "telephone_number": "804-933-6500",
            "fax_number": "804-793-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTLABATI",
        "first_name": "LATOYA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.