Active NPI
Latricia Walton, RMA
- Homemaker
- Chicago, IL
National Provider Identifier
1134401235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 376J00000X
- Practice address
- 353 S Cicero Ave
Chicago, IL 60644-4905 - Phone
- (773) 309-8749
- Fax
- (773) 309-8760
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 376J00000X | IL | Primary |
Addresses
Primary practice location
353 S Cicero Ave
Chicago, IL 60644-4905
Mailing address
10830 S Bensley Ave
Chicago, IL 60617-6416
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
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376J00000X | IL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mstoa Staffing | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Chicago, IL
- NPI 1528340296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1134401235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10830 S BENSLEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606176416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 S CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606444905",
"telephone_number": "773-309-8749",
"fax_number": "773-309-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "LATRICIA",
"credential": "RMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IL",
"license": "376J00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.