Active NPI
Michelle A. Latimer, N.P.P.
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1154499390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 400934
- Practice address
- 1545 Inwood Ave
Bronx, NY 10452-2001 - Phone
- (718) 299-5500
- Fax
- (718) 299-7679
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400934 | NY | Primary |
Addresses
Primary practice location
1545 Inwood Ave
Bronx, NY 10452-2001
Mailing address
73 Cooper St
#3B
New York, NY 10034-3070
Phone (646) 873-0621
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Help/Psi,Inc. | Past | Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Past | Accepting new patients |
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.
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1891020145
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154499390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 COOPER ST",
"address_2": "#3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100343070",
"telephone_number": "646-873-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 INWOOD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104522001",
"telephone_number": "718-299-5500",
"fax_number": "718-299-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "MICHELLE",
"middle_name": "A.",
"credential": "N.P.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "400934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.