Individual provider Active NPI

Latrice Harville, LPN

  • Licensed Practical Nurse
  • Tallahassee, FL
National Provider Identifier
1053711085
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5212191 Issued in FL
Practice address
2719 W Tharpe St Apt 38
Tallahassee, FL 32303-8659
Phone
(850) 322-4569
Fax
(850) 681-6003
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5212191 FL Primary

Addresses

Primary practice location

2719 W Tharpe St Apt 38
Tallahassee, FL 32303-8659

Mailing address

2719 W Tharpe St Apt 38
Tallahassee, FL 32303-8659
Phone (850) 322-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5212191FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1053711085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W THARPE ST APT 38",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323038659",
            "telephone_number": "850-322-4569",
            "fax_number": "850-681-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W THARPE ST APT 38",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323038659",
            "telephone_number": "850-322-4569",
            "fax_number": "850-681-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILLE",
        "first_name": "LATRICE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5212191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.