Active NPI
Latishica Eaden
- Phlebology Physician
- Humble, TX
National Provider Identifier
1144791591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 006355
- Practice address
- 2618 Merganser CT
Humble, TX 77396-4148 - Phone
- (346) 719-3814
- NPI assigned
- Dec 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 006355 | TX | Primary |
Addresses
Primary practice location
2618 Merganser CT
Humble, TX 77396-4148
Mailing address
2618 Merganser CT
Humble, TX 77396-4148
Phone (346) 719-3814
Other practice location 1
2618 Merganser Ct
Humble, TX 77396-4148
Phone (346) 719-3814
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006355 | TX | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1144791591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 MERGANSER CT",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964148",
"telephone_number": "346-719-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 MERGANSER CT",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964148",
"telephone_number": "346-719-3814"
}
],
"practiceLocations": [
{
"address_1": "2618 Merganser Ct",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773964148",
"country_code": "US",
"telephone_number": "346-719-3814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EADEN",
"first_name": "LATISHICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "TX",
"license": "006355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
- Durrani Pain Medicine PLLC
- Imelda Lawas Duterte, NP
- DWCK, LLC
- E Howard Pediatric Dentistry, PLLC
- E. John R. Samuel, MD, PA
- Eagle's Nest Medical Center (First Choice Emergency Room)
- Lamon Donell Easely Jr.
- East Texas Eye Center PA
- Eastern Home Health Care Services, Inc. (S.I.S.T.E.R.S Inc.)
- Angie Tanshea Eaton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.