Active NPI
Latrisha Diana Hicks
- Nurse Practitioner
- Norfolk, VA
National Provider Identifier
1992674659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024195222
- Practice address
- 930 W 21St St FL 2
Norfolk, VA 23517-1516 - Phone
- (757) 624-1785
- Fax
- (757) 624-1759
- NPI assigned
- Oct 31, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024195222 | VA | Primary |
Addresses
Primary practice location
930 W 21St St FL 2
Norfolk, VA 23517-1516
Mailing address
930 W 21St St FL 2
Norfolk, VA 23517-1516
Phone (757) 624-1785
Other names 1
- Latrisha Puryear
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
930 W 21St St
Norfolk, VA 23517-1516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024195222 | VA | MD | Nurse Practitioner |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1992674659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 W 21ST ST FL 2",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171516",
"telephone_number": "757-624-1785",
"fax_number": "757-624-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W 21ST ST FL 2",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171516",
"telephone_number": "757-624-1785",
"fax_number": "757-624-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "LATRISHA",
"middle_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024195222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATRISHA",
"last_name": "PURYEAR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.