Individual provider Active NPI

Latoria J Bass

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1134670201
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-144026 Issued in AL
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.

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

LicenseStateTypeSpecialty
1-144026ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-144026 AL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.