Individual provider Active NPI

Lakieva Tatarshaq Trotter, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174791784
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12946 Issued in TN
Practice address
587 S Belvedere Blvd
Memphis, TN 38104-5002
Phone
(901) 483-2349
NPI assigned
Feb 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12946 TN Primary

Addresses

Primary practice location

587 S Belvedere Blvd
Memphis, TN 38104-5002

Mailing address

4460 Crescent Park Dr
Memphis, TN 38141-7214
Phone (901) 628-1502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltrotter@direct.obfmc.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080617000785 TN Practitioner - Nurse Practitioner 1557432663 Reassigns benefits to 6 organizations
I20120920000677 TX Practitioner - Nurse Practitioner 1557432663 Reassigns benefits to 1 organization
I20140408001374 MS Practitioner - Nurse Practitioner 1557432663 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Olive Branch Family Medical CenterGroup PAC ID 2567351984, 7 clinicians

Practice addresses (Care Compare)

111 Chase St
Byhalia, MS 38611-7395
Phone (662) 838-3670

1250 Farrow Rd
Memphis, TN 38116-7116
Phone (901) 332-7290

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

9075 Sandidge Ctr CV
Olive Branch, MS 38654-3514
Phone (662) 895-4949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1652TXMDAddiction (Substance Use Disorder) Counselor
12946TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Aug 6, 2012 Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Aug 6, 2012 Accepting new patients
Southeastern Physician Services PC CurrentSince Dec 15, 2017 Accepting new patients
Southeastern Emergency Services P C CurrentSince Mar 15, 2015 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
Mississippi Pac Services Professional Association CurrentSince Mar 1, 2020 Accepting new patients
Olive Branch Family Medical Center CurrentSince Feb 15, 2014 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 4, 2024 Accepting new patients
T M Carr MD PC Past Accepting new patients

Locations

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

111 Chase St
#H
Byhalia, MS 38611
Phone (626) 838-3670

102 Woodchase Park Dr
Clinton, MS 39056
Phone (601) 924-7043

9075 Sandidge Center Cv
Olive Branch, MS 38654
Phone (662) 895-4949

2782 Star Landing Rd E
Southaven, MS 38672
Phone (662) 291-7651

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

Interoperability endpoints

  • Direct secure messaging: ltrotter@direct.obfmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1174791784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CRESCENT PARK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417214",
            "telephone_number": "901-628-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 S BELVEDERE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045002",
            "telephone_number": "901-483-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "LAKIEVA",
        "middle_name": "TATARSHAQ",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltrotter@direct.obfmc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9075 Sandidge Center Cv",
            "city": "Olive Branch",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386543514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.