Active NPI
Latrina Kingsby, RN
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1164185773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 168145
- Practice address
- 4911 W Good Hope Rd Unit D
Milwaukee, WI 53223-4840 - Phone
- (414) 405-9002
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 20, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 168145 | WI | Primary |
Addresses
Primary practice location
4911 W Good Hope Rd Unit D
Milwaukee, WI 53223-4840
Mailing address
7034 N 55TH St Apt C
Milwaukee, WI 53223-6336
Phone (414) 405-9002
Other names 1
- Latrina Ellis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | clinicalabwork | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168145 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essence of Truth Clinical Lab, LLC | Current | Accepting new patients | |
| Essence of Truth SHPC | Current | Accepting new patients | |
| Healthwise Education Training Solutions | Single Specialty | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Milwaukee, WI
- NPI 1023760097
-
- Home Health Agency
- Milwaukee, WI
- NPI 1437028768
-
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
- NPI 1942154471
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1164185773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7034 N 55TH ST APT C",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236336",
"telephone_number": "414-405-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 W GOOD HOPE RD UNIT D",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234840",
"telephone_number": "414-405-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBY",
"first_name": "LATRINA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "168145",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "clinicalabwork",
"affiliation": "N",
"endpointDescription": "lab",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4911 W Good Hope Rd Unit D",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532234840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LATRINA",
"last_name": "ELLIS",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.