Extraordinary Healthcare, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EXTRAORDINARY HEALTHCARE, LLC

Practice address

900 Ryan St Ste 400
Lake Charles, LA 70601-9405

Phone

(337) 377-8277

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Dr Latasha Grice, DNP,FNP-C, PMHNP-BC

Title

Owner

Phone

(337) 377-8277

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latasha Grice

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1619460870

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1033048160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CAESARS CT",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706116739",
            "telephone_number": "337-377-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RYAN ST STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706019405",
            "telephone_number": "337-377-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "DR LATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-377-8277",
        "authorized_official_credential": "DNP,FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eye Clinic a Professional Medical Corp.
• Eyemart Express LLC
• Matthew Quinn Ezernack
• Ivana Ezeude, MD
• Megan A Fabian, LPC

• Psychiatric/Mental Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.