Individual provider Active NPI

Lataya De Jesus, NP

  • Family Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1154071264
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031356 Issued in OH
Practice address
807 Farson St Ste 203a
Belpre, OH 45714-1069
Phone
(740) 568-5687
Fax
(740) 376-6118
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4044149 KY
Family Nurse Practitioner 363LF0000X 10061260 OR
Family Nurse Practitioner 363LF0000X 1214857 TX
Family Nurse Practitioner 363LF0000X 327525 AZ
Family Nurse Practitioner 363LF0000X 113014 WV
Family Nurse Practitioner 363LF0000X APRN.CNP.0031356 OH Primary
Family Nurse Practitioner 363LF0000X 5024121 NC
Prevention Professional 405300000X 0000837 OH

Addresses

Primary practice location

807 Farson St Ste 203a
Belpre, OH 45714-1069

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221128003011 WV Practitioner - Nurse Practitioner 5294103024 Reassigns benefits to 1 organization
I20230911002228 OH Practitioner - Nurse Practitioner 5294103024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1375 State Route 530
Lowell, OH 45744

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

PO Box
Suite 211699
Eagan, MN 55121

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
327525AZMDFamily Nurse Practitioner
4044149KYMDFamily Nurse Practitioner
5024121NCMDFamily Nurse Practitioner
APRN.CNP.0031356OHMDFamily Nurse Practitioner
10061260ORMDFamily Nurse Practitioner
1214857TXMDFamily Nurse Practitioner
113014WVMDFamily Nurse Practitioner
0000837OHMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Aug 8, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jul 29, 2023 Accepting new patients
Eden HR LLC Family Current Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: lthompson123131@direct.wvuhsdirect.com
  • Direct secure messaging: lataya.dejesus@mmhs.medicity.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1154071264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FARSON ST STE 203A",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141069",
            "telephone_number": "740-568-5687",
            "fax_number": "740-376-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "LATAYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4044149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10061260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1214857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "327525",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113014",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031356",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024121",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "0000837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.