Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latasha Shannon Butler, PA

Individual provider Medical Physician Assistant · NPI 1205207362

Latasha Shannon Butler, PA is a Physician Assistant in Hampton, Virginia. Qualified in 2015, 11 years ago. Practices with Bon Secours Urgent Care LLC, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone: (757) 951-1579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3920 Bridge Rd # A, Suffolk, VA 23435-1117 — (757) 983-2245

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110005040 (VA)

Record details

NPI number1205207362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bon Secours Urgent Care Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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