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

Miss. Latisha Olivia Bristol, PA

Individual provider Physician Assistant · NPI 1265597538

Miss. Latisha Olivia Bristol, PA is a Physician Assistant in Stafford, Virginia. Qualified in 2002, 24 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
24
Licensed in
DC, VA
In the registry since
2006
Specialties on file
2
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

60 Prosperity Ln
Stafford, VA 22556-4605
Phone: (540) 658-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 Prosperity Ln, Stafford, VA 22556-4605 — (540) 658-2811

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004651 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA030279 (DC)

Record details

NPI number1265597538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 26, 2006
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 2002 (24 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Stafford