Individual provider Active NPI

Tina Marie Noone, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Raytown, MO
National Provider Identifier
1144604323
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2015024667 Issued in MO
Practice address
11901 Jessica LN
Raytown, MO 64138-2639
Phone
(855) 874-7394
NPI assigned
Jul 17, 2015
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015024667 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 77224 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC002532 MD

Addresses

Primary practice location

11901 Jessica LN
Raytown, MO 64138-2639

Mailing address

561 NW State Route 131
Holden, MO 64040-9469
Phone (816) 826-6005

Other practice location 1

141 Parker St Ste 306
Maynard, MA 01754-2180
Phone (949) 420-4400

Other practice location 2

561 NW State Route 131
Holden, MO 64040-9469
Phone (816) 826-6005

Other names 1

  • Ms. Tina Marie Latteyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MS, MD, LA, IA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150814014227 MO Practitioner - Nurse Practitioner 4688989957 Reassigns benefits to 1 organization
Practice locations: Kansas City, MO
I20180726002759 MS Practitioner - Nurse Practitioner 4688989957 Reassigns benefits to 1 organization
I20200323000131 MD Practitioner - Nurse Practitioner 4688989957 Reassigns benefits to 2 organizations
I20211022000178 LA Practitioner - Nurse Practitioner 4688989957 Reassigns benefits to 1 organization
I20230307002872 IA Practitioner - Nurse Practitioner 4688989957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
77224KSMDPsychiatric/Mental Health Nurse Practitioner
2015024667MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince Jul 2, 2018 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Brentwood Acquisition-Shreveport Inc. CurrentSince Jul 21, 2021 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Mar 28, 2022 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Brentwood Acquisition-Shreveport Inc. CurrentSince Jul 21, 2021 Accepting new patients
Genesis Health System CurrentSince Feb 28, 2023 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince May 16, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Genesis Health System CurrentSince Feb 28, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Mar 28, 2022 Accepting new patients
TBD Acquisition II LLC Current Accepting new patients
Trevi Enterprises LLC Psychiatric/Mental Health CurrentSince Aug 15, 2015 Accepting new patients
Upmc Western Maryland Corporation Psychiatric/Mental Health Past Accepting new patients
Ascentist Physicians Group, LLC PastSince May 16, 2024 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12502 Willowbrook Rd
Ste 380
Cumberland, MD 21502
Phone (240) 964-8585

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1000 Carondelet Dr
Ste 100
Kansas City, MO 64114
Phone (816) 941-9030

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

11150 Highway 49
Ste B
Gulfport, MS 39503
Phone (228) 575-1000

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1144604323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NW STATE ROUTE 131",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640409469",
            "telephone_number": "816-826-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 JESSICA LN",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641382639",
            "telephone_number": "855-874-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Parker St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542180",
            "country_code": "US",
            "telephone_number": "949-420-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 NW State Route 131",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MO",
            "postal_code": "640409469",
            "country_code": "US",
            "telephone_number": "816-826-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015024667",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "77224",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC002532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "LATTEYER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

Verify at the official NPI Registry.