MOSAIC CARE CENTER
NPI 1104170398
Nurse Practitioner - Family in Fredericksburg, VA

Q: What is Fredericksburg Area Health And Support Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 09, 2012

10514 WAKEMAN DR, FREDERICKSBURG, VA 22407(540) 907-4555(833) 918-2314 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Aug 18, 2022, Sep 28, 2021 and 2 more (5 updates tracked since 2016).

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About Mosaic Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSAIC CARE CENTER (NPI 1104170398) is a healthcare organization registered as a family in Fredericksburg, Virginia and active in the NPI registry since November 2012. The organization maintains 3 additional practice locations and lists Joseph Lyttle, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104170398

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES

Location Address10514 WAKEMAN DRFredericksburg, VA 22407-8040

Mailing Address4343 Plank Rd Ste 100Fredericksburg, VA 22407-4807 · (540) 907-4555 · Fax (540) 907-4318

Phone(540) 907-4555

Fax(833) 918-2314

Organization SubpartNo

Authorized OfficialJoseph LyttleExecutive Director · (540) 907-4555

Enumeration DateNovember 9, 2012

Last NPPES UpdateAugust 30, 20225 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1104170398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPeer SpecialistTaxonomy 175T00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X

10514 WAKEMAN DR, Fredericksburg, VA 22407

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Other Names 1

Doing Business AsMosaic Care Center

Secondary Practice Locations 3

Location 14343 Plank Rd Ste 110Fredericksburg, VA 22407-4807 · Phone (540) 907-4555 · Fax (540) 907-4318

Location 2219 E Davis St Ste 100Culpeper, VA 22701-3005 · Phone (540) 907-4555

Location 3415 Elm StFredericksburg, VA 22401-3313 · Phone (540) 907-4555

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES

Case Management