Latess Echavarria

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2625 Suncrest Dr
Buford, GA 30519-5185

Phone

(269) 416-0549

NPI assigned

Feb 24, 2017

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Vitality

  • Occupational Therapist
  • Conyers, GA
  • NPI 1497484778
  Medicare reassignment NPD Authorized official
• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624

  Occupational Therapist

  Medicare reassignment NPD
• Functional Vitality

  dba Functional Vitality Home Health Services

  • Occupational Therapist
  • Mansfield, GA
  • NPI 1336879741
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1013457084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 SUNCREST DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195185",
            "telephone_number": "269-416-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SUNCREST DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195185",
            "telephone_number": "269-416-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAVARRIA",
        "first_name": "LATESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catelyn Dake Durham, MS, LPC
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• Ebs Children's Therapy- Ga, LLC
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• Cheyenne Marie Edge
• Ryan James Edwards, D.M.D.
• Nichol Eilts
• Walter Elate

• Occupational Therapist in Buford, GA
• Providers in Buford, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.