Individual provider Active NPI

Latoya Weathersby, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1033459912
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1146968 Issued in TX
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

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03624191MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141022001198 NY Practitioner - Nurse Practitioner 0648405449 Reassigns benefits to 1 organization
I20241120002859 TX Practitioner - Nurse Practitioner 0648405449 Reassigns benefits to 1 organization

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
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
337822NYMDFamily Nurse Practitioner
1146968TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proxi Medical PC CurrentSince Sep 1, 2015 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Oct 1, 2024 Accepting new patients
Park Slope Medical Service PC PastSince Sep 1, 2015 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.