Individual provider Active NPI

Latrise Pamela Searson-Norris, M.D.

  • General Practice Physician
  • Luke Air Force Base, AZ
National Provider Identifier
1164511259
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101227658 Issued in VA
Practice address
7219 N Litchfield Rd BLDG 1130
Luke Air Force Base, AZ 85309-1529
Phone
(623) 856-2273
NPI assigned
Oct 12, 2006
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101227658 VA Primary

Addresses

Primary practice location

7219 N Litchfield Rd BLDG 1130
Luke Air Force Base, AZ 85309-1529

Mailing address

7219 N Litchfield Rd BLDG 1130
Luke Air Force Base, AZ 85309-1529
Phone (623) 856-2296

Other identifiers 1

IdentifierTypeStateIssuer
010012112MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220001348 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163856345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101227658VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1164511259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "LUKE AIR FORCE BASE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 1130",
            "city": "LUKE AIR FORCE BASE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARSON-NORRIS",
        "first_name": "LATRISE",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101227658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010012112",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luke Air Force Base, AZ

Sources for this page

Verify at the official NPI Registry.