Active NPI
Latoria J Bass
- Family Nurse Practitioner
- Opelika, AL
National Provider Identifier
1134670201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-144026
- Practice address
- 1801 Corporate Dr
Opelika, AL 36801-6861 - Phone
- (334) 745-5765
- Fax
- (334) 745-9830
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Valley, AL
- NPI 1831610906
-
- Home Health Agency
- Decatur, AL
- NPI 1609957521
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-144026 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers County Health Dept STD | Past | Accepting new patients | |
| State of Alabama Department of Public Health | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-144026 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1801 Corporate Dr
Opelika, AL 36801-6861
Mailing address
201 Monroe St
Suite 1350
Montgomery, AL 36104-3735
Phone (334) 206-5675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2016.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1134670201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MONROE ST",
"address_2": "SUITE 1350",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043735",
"telephone_number": "334-206-5675",
"fax_number": "334-206-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 CORPORATE DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016861",
"telephone_number": "334-745-5765",
"fax_number": "334-745-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "LATORIA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-144026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.