MOSAIC CARE CENTER
NPI 1104170398
Nurse Practitioner - Family in Fredericksburg, VA
NPI Status: Active since November 09, 2012
Contact Information
10514 WAKEMAN DR
FREDERICKSBURG, VA
ZIP 22407
Phone: (540) 907-4555
Fax: (833) 918-2314
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 49D1098741
- CLIA Cert. Type: Prison
- CLIA Exp. Date: 04-26-2027
About MOSAIC CARE CENTER
This page provides the complete NPI Profile along with additional information for Mosaic Care Center, a provider established in Fredericksburg, Virginia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104170398 assigned on November 2012. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Mosaic Care Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mosaic Care Center. The authorized official of this NPI record is Mr. Joseph Lyttle (Executive Director)
- NPI
- 1104170398
- Provider Legal Name
- FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
- Other Organization Name
- MOSAIC CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10514 WAKEMAN DR FREDERICKSBURG, VA 22407
- Location Phone
- (540) 907-4555
- Location Fax
- (833) 918-2314
- Mailing Address
- 4343 PLANK RD STE 100 FREDERICKSBURG, VA 22407
- Mailing Phone
- (540) 907-4555
- Mailing Fax
- (833) 918-2314
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2012
- Last Update Date
- 08-30-2022
- Code Navigator
A nurse practitioner (NP) like Mosaic Care Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 219 E Davis St Ste 100
Culpeper, VA 22701
(540) 907-4555 - 4343 Plank Rd Ste 110
Fredericksburg, VA 22407
(540) 907-4555 - 415 Elm St
Fredericksburg, VA 22401
(540) 907-4555
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 4 | 175T00000X | Other Service Providers | Peer Specialist | |
| 5 | 251B00000X | Agencies | Case Management | |
| 6 | 251K00000X | Agencies | Public Health or Welfare | |
| 7 | 251S00000X | Agencies | Community/Behavioral Health | |
| 8 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 11 | 364SA2200X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
| 12 | 364SF0001X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
| 13 | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D1098741
- Facility Type
- Prison
- Certificate Effective Date
- April 27, 2025
- Certificate Expiration Date
- April 26, 2027
- Laboratory Director
- JOSEPH W. LYTTLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mosaic Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104170398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104170398, enumerated as an "organization" on November 09, 2012.
The provider is located at 10514 WAKEMAN DR FREDERICKSBURG, VA 22407 and the phone number is (540) 907-4555.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
