Active NPI
Latoya Weathersby, FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1146968
- Practice address
- 4500 Washington Ave Ste 100
Houston, TX 77007-5477 - Phone
- (713) 730-7416
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337822 | NY | |
| Family Nurse Practitioner | 363LF0000X | 1146968 | TX | Primary |
Addresses
Primary practice location
4500 Washington Ave Ste 100
Houston, TX 77007-5477
Mailing address
4500 Washington Ave Ste 100
Houston, TX 77007-5477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03624191 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 Smith Ranch Rd
Suite 102
Pearland, TX 77584-5209
Phone (346) 439-7481
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337822 | NY | MD | Family Nurse Practitioner |
| 1146968 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proxi Medical PC | Current | Accepting new patients | |
| Memorial Hermann Urgent Care PLLC | Current | Accepting new patients | |
| Park Slope Medical Service PC | Past | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860
4500 Washington Ave
Ste 100
Houston, TX 77007
Phone (713) 730-7416
2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481
19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AACHCD
- lweathersby506938@memorialhermann.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1730821208
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1184000853
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1144236746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1033459912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 WASHINGTON AVE STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 WASHINGTON AVE STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075477",
"telephone_number": "713-730-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERSBY",
"first_name": "LATOYA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337822",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1146968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03624191",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.