LATASHA SHANNON BUTLER


Address: 2304 W Mercury Blvd, Hampton, VA 23666-3115
Phone: 7579511579

LATASHA SHANNON BUTLER (NPI# 1205207362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205207362
Entity Type Individual
Full Name LATASHA SHANNON BUTLER
Credential PA
Practice Address 2304 W Mercury Blvd
Hampton
VA 23666-3115
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 7579511579
Mailing Telephone 8049685700
Enumeration Date 2015-10-15
Last Update Date 2018-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110005040 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3920 Bridge Rd # A, Suffolk, VA 234351117 7579832245

Other Providers LATASHA BUTLER

NPI Name Taxonomy Address Enumeration
1710461447 Latasha Shabree Butler Registered Nurse 10000 Lincoln Dr E Ste 201, Marlton, NJ 08053-3105 2018-09-19

Office Location

Street Address 2304 W MERCURY BLVD
City HAMPTON
State VA
Zip Code 23666-3115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881669182 Ellen M Montgomery Physician Assistant 2304 W Mercury Blvd, Hampton, VA 23666-3115 2006-02-21
1386102101 Tabetha A Brown Nurse Practitioner 2304 W Mercury Blvd, Hampton, VA 23666-3115 2019-03-11
1538546122 Kene H Ukeje Family Medicine 2304 W Mercury Blvd, Hampton, VA 23666-3115 2015-05-03
1366841769 Winghan Sammi Chiu Physician Assistant 2304 W Mercury Blvd, Hampton, VA 23666-3115 2014-08-21
1225469646 Patient First Richmond Medical Group Non-Pharmacy Dispensing Site 2304 W Mercury Blvd, Hampton, VA 23666-3115 2013-12-11
1568891315 Patient First Richmond Medical Group Pllc Family Medicine 2304 W Mercury Blvd, Hampton, VA 23666-3115 2013-11-02
1730415282 Arnice Burwell Johnson Physician Assistant 2304 W Mercury Blvd, Hampton, VA 23666-3115 2009-10-19
1265668537 Kristin D Negaard Family Medicine 2304 W Mercury Blvd, Hampton, VA 23666-3115 2009-06-01
1053455055 Virginia Elizabeth Knight Physician Assistant 2304 W Mercury Blvd, Hampton, VA 23666-3115 2007-02-16
1801992144 Trissana D Emdadi Family Medicine 2304 W Mercury Blvd, Hampton, VA 23666-3115 2006-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366832602 Pakesia Mcghee Physician Assistant 2031 Registry Pl, Hampton, GA 30228-6387 2015-01-26
1629265368 Hannah Joy Lokenvitz Physician Assistant 700 2nd St Se Ste 101, Hampton, IA 50441-2655 2007-09-26
1881669182 Ellen M Montgomery Physician Assistant 2304 W Mercury Blvd, Hampton, VA 23666-3115 2006-02-21
1902870074 Diane I Schwartz Physician Assistant 450 Charlestown Rd, Hampton, NJ 08827-2535 2006-02-15
1659357739 William Asbury Stephens II Physician Assistant 305 Elm St W, Hampton, SC 29924 2005-12-20
1851385512 Susan Hathaway Physician Assistant 879 Lafayette Rd, Hampton, NH 03842 2005-09-08
1437767910 Stanislav Kozlovski Physician Assistant 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2020-07-21
1144781576 Kyle David Long Physician Assistant 77 Nealy Ave, Hampton, VA 23665-2040 2019-03-28
1356895742 Heather Lynne Mayer Physician Assistant 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 2016-08-15
1629427588 Mary Kathryn Winters Physician Assistant 3000 Coliseum Dr, Hampton, VA 23666-5963 2016-06-10
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Competitor

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City HAMPTON
Zip Code 23666

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Dataset Information

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.

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