Individual provider Active NPI

Latasha Marie Cabral, CRNA

  • Certified Registered Nurse Anesthetist
  • Keene, NH
National Provider Identifier
1053759084
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
61083 Issued in NM
Practice address
580 Court St
Keene, NH 03431-1718
Phone
(603) 354-5454
Fax
(603) 354-6535
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 61083 NM Primary
Certified Registered Nurse Anesthetist 367500000X 067601-23 NH

Addresses

Primary practice location

580 Court St
Keene, NH 03431-1718

Mailing address

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 994-7000

Other names 1

  • Latasha Marie Heape Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT, NM, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130904000661 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567605959 Reassigns benefits to 7 organizations
I20180907000651 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567605959 Reassigns benefits to 4 organizations
I20200904000209 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567605959 Reassigns benefits to 1 organization
I20211029000759 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567605959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-8834

17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 257-0341

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Oct 1, 2020 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2024 Accepting new patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Granite State Anesthesia Partners, LLC CurrentSince Feb 1, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 1, 2019 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jul 20, 2021 Accepting new patients
Springfield Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2018 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Sep 1, 2021 Accepting new patients
Catholic Medical Center CurrentSince Apr 16, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC CurrentSince Feb 11, 2024 Accepting new patients
Ias Illinois PC CurrentSince Jan 1, 2026 Accepting new patients
Independent Anesthesiologists, PLLC Past Accepting new patients

Locations

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

400 10th St E
Waconia, MN 55387

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053759084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442100",
            "telephone_number": "505-994-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718",
            "telephone_number": "603-354-5454",
            "fax_number": "603-354-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "LATASHA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-02-15",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "61083",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "067601-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "HEAPE",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.