Latosha Lynisha Smith, RN, BSN,PHN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

487060 Issued in OH

Practice address

5241 Wilson Mills Rd Ste 31a
Richmond Heights, OH 44143-2142

Phone

(661) 916-0470

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1154819563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DYSART RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184406",
            "telephone_number": "661-916-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 WILSON MILLS RD STE 31A",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432142",
            "telephone_number": "661-916-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 FAirmont blvd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "44118",
            "country_code": "US",
            "telephone_number": "661-916-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATOSHA",
        "middle_name": "LYNISHA",
        "credential": "RN, BSN,PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "168110",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "487060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perchell Denise Scott
• Shardae Seals
• Amy Shuster
• Tamika Denise Skanes
• Jalia A Smith
• Milleon Smith
• Luz Maria Solis Lopez, D.O.
• Michelle L Spencer
• Stachie Campbell
• Steven P. Gordon, OD, Inc.

• Home Health Registered Nurse in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.