Latresa Stewart

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95037234 Issued in CA

Practice address

29072 Abelia Glen St
Menifee, CA 92584-7106

Phone

(757) 535-2721

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1023821642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29072 ABELIA GLEN ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29072 ABELIA GLEN ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847106",
            "telephone_number": "757-535-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LATRESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95030484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Alliance Health Group Inc (Lotus Pharmacy)
• Star Alliance Health Group Inc (Lotus Pharmacy)
• Linda Stark
• Sharon Aurora Brown Starnes, RNFA
• Monique Steiner, CRNA
• Levi Stinchcomb
• Peter Stocks, M.S., MFT
• STR Corporation (Californis TMS & wellness professional Nursing Services)
• Jeron Devon Straker
• Claudia Suchil, PT, DPT

• Family Nurse Practitioner in Menifee, CA
• Providers in Menifee, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.