Lett Medical Group LLC
Nurse Practitioner, Psych/Mental Health in Richmond, VA. Organization (NPI-2).
Details
- NPI
- 1194440503
- Entity type
- Organization (NPI-2)
- Legal business name
- Lett Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Lett Medical Group, LLC (Doing Business As)
Practice location
6960 Forest Hill Ave Ste BRichmond, VA 23225-1606
Phone 804-219-9519 · Fax 804-293-3934
Mailing address
1707 Winesap DrRichmond, VA 23231-5147
Phone 804-219-9519 · Fax 804-293-3934
Authorized official
Dexter S Lett
Owner
8042199519
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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