Individual provider Active NPI

Latoya Shanta Henderson, APRN, FNP, PMH-NP

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1164727319
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026034 Issued in OH
Practice address
725 E Market St
Akron, OH 44305-2421
Phone
(330) 434-4141
NPI assigned
Jan 19, 2011
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.365153 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.026034 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022090854 OH

Addresses

Primary practice location

725 E Market St
Akron, OH 44305-2421

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

Other identifiers 1

IdentifierTypeStateIssuer
0398705MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200416003714 OH Practitioner - Nurse Practitioner 7911337845 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Drug Board, IncGroup PAC ID 8022061142, 11 clinicians

Practice addresses (Care Compare)

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.365153OHMDRegistered Nurse
APRN.CNP.026034OHMDFamily Nurse Practitioner
2022090854OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Drug Board, Inc Current Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jul 20, 2025 Accepting new patients
Uh Regional Hospitals CurrentSince Mar 15, 2020 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jul 20, 2025 Accepting new patients
Community Drug Board, Inc CurrentSince Dec 21, 2020 Accepting new patients
Community Drug Board, Inc CurrentSince Dec 21, 2020 Accepting new patients
Uh Regional Hospitals CurrentSince Mar 15, 2020 Accepting new patients

Locations

725 E Market St
Akron, OH 44305
Phone (330) 434-4141

3315 N Ridge Rd E
Ste 700A
Ashtabula, OH 44004
Phone (440) 484-2130

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

1801 Watermark Dr
Ste 200
Columbus, OH 43215

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

30 Northwest Ave
#A120
Tallmadge, OH 44278
Phone (330) 256-0135

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1164727319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-434-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-434-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LATOYA",
        "middle_name": "SHANTA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP, PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.365153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026034",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2022090854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.