Healthcare Provider Details

I. General information

NPI: 1457262982
Provider Name (Legal Business Name): LADREKA S WEBB CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 FIRST COLONIAL RD
VIRGINIA BEACH VA
23454-3002
US

IV. Provider business mailing address

5020 COUNTRYSIDE DR
ANTIOCH TN
37013-1830
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-8000
  • Fax:
Mailing address:
  • Phone: 615-602-1166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberNA
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: