Individual provider Active NPI

Latasha Nichole Jones, FNP-C

  • Family Nurse Practitioner
  • Carlisle, IN
National Provider Identifier
1184255440
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009861A Issued in IN
Practice address
8685 S Old 41
Carlisle, IN 47838-8234
Phone
(812) 268-3318
NPI assigned
Jan 27, 2020
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28181448A IN
Family Nurse Practitioner 363LF0000X 71009861A IN Primary

Addresses

Primary practice location

8685 S Old 41
Carlisle, IN 47838-8234

Mailing address

10950 E Flesher Ave
Terre Haute, IN 47803-9628
Phone (812) 239-7616

Other identifiers 2

IdentifierTypeStateIssuer
28181448AOtherINBON INDIANA
F01201392OtherINAANP CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210211002691 IN Practitioner - Nurse Practitioner 6204241896 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28181448AINMDFamily Nurse Practitioner
71009861AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Mar 6, 2022 Accepting new patients
Union Associated Physicians Clinic, LLC Single Specialty CurrentSince Mar 6, 2022 Accepting new patients

Locations

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

Organizations & group practices 2

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1184255440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 E FLESHER AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039628",
            "telephone_number": "812-239-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 S OLD 41",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "478388234",
            "telephone_number": "812-268-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LATASHA",
        "middle_name": "NICHOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28181448A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009861A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BON INDIANA",
            "identifier": "28181448A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F01201392",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, IN

Sources for this page

Verify at the official NPI Registry.