=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134135452
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE VICTORIA LITTLEFIELD PMHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2006
-----------------------------------------------------
Last Update Date | 11/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1145 STURGIS RD ROBERT E BUSH NAVAL HOSPITAL
-----------------------------------------------------
City | TWENTYNINE PALMS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92277
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-632-6213
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1145 STURGIS ROAD
-----------------------------------------------------
City | TWENTYNINE PALMS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92252
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-632-6213
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 401428-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WL0100X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Registered Nurse)
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163WM0102X
-----------------------------------------------------
Taxonomy Name | Maternal Newborn Registered Nurse
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 163WM0705X
-----------------------------------------------------
Taxonomy Name | Medical-Surgical Registered Nurse
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 163WP1700X
-----------------------------------------------------
Taxonomy Name | Perinatal Registered Nurse
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
Taxonomy Code | 163WX0002X
-----------------------------------------------------
Taxonomy Name | High-Risk Obstetric Registered Nurse
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
Taxonomy Code | 163WX0003X
-----------------------------------------------------
Taxonomy Name | Inpatient Obstetric Registered Nurse
-----------------------------------------------------
License Number | 65495
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------