LATOYA MULLEN (NPI# 1053850214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053850214 |
| Entity Type | Individual |
| Full Name | LATOYA MULLEN |
| Credential | FNP-BC, PMHNP-BC |
| Practice Address |
780 Lynnhaven Pkwy Ste 340 Virginia Beach VA 23452-7361 |
| Mailing Address |
Po Box 12731 Norfolk VA 23541-0731 |
| Practice Telephone | 7576944723 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174332 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024174332 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5029 Corporate Woods Dr, Suite 250, Virginia Beach, VA 234624376 | 7574733770 | 7574733768 |
| Street Address |
780 LYNNHAVEN PKWY STE 340 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366822942 | Russell Crawford | Counselor | 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452-7361 | 2015-06-09 |
| 1407495955 | Roshawna Marion Myers | Counselor | 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452-7361 | 2020-01-02 |
| 1417435496 | Noeris Montanez | Counselor | 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452-7361 | 2018-08-01 |
| 1548784507 | Sunrise Counseling and Psychological Services | Counselor | 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452-7361 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966265 | Resmi Thomas | Nurse Practitioner | 1296 Ferry Point Rd, Virginia Beach, VA 23464-5234 | 2019-11-12 |
| 1275074908 | Courtney Williams | Nurse Practitioner | 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 | 2017-03-14 |
| 1831492263 | Ryan Gorman | Nurse Practitioner | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2010-12-07 |
| 1063405686 | Jennifer Field Brown | Nurse Practitioner | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6364 | 2005-08-30 |
| 1396344693 | Edward James Evard | Nurse Practitioner | 260 Grayson Rd, Virginia Beach, VA 23462-4345 | 2020-10-19 |
| 1235746611 | Jamie Kate Diamond | Nurse Practitioner | 409 Birdneck Cir, Virginia Beach, VA 23451-5516 | 2020-09-29 |
| 1275158792 | Sayward Mccullough | Nurse Practitioner | 4460 Corporation Ln, Virginia Beach, VA 23462-3150 | 2020-06-10 |
| 1023655974 | Laura Lamonica | Nurse Practitioner | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2019-12-10 |
| 1184110991 | Wendy Anne Calender-howlett | Nurse Practitioner | 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 | 2018-07-04 |
| 1184112476 | Ronika Alice Robinson | Nurse Practitioner | 770 Lynnhaven Pkwy, Virginia Beach, VA 23452-7324 | 2018-04-23 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on LATOYA MULLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.