Active NPI
Latasha Knowles, LPN
- Licensed Practical Nurse
- Parma Heights, OH
National Provider Identifier
1184288193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.171140.MEDS-IV
- Practice address
- 6700 Pearl Rd
Parma Heights, OH 44130-3828 - Phone
- (440) 941-1933
- NPI assigned
- Apr 24, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.171140.MEDS-IV | OH | Primary |
Addresses
Primary practice location
6700 Pearl Rd
Parma Heights, OH 44130-3828
Mailing address
26900 George Zeiger Dr Apt 313
Beachwood, OH 44122-7610
Phone (216) 894-1337
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.171140.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakefront Nursing Medical Staffing Agency LLC | Licensed Practical Nurse | Current | Accepting new patients |
| Baymark Health Services of Ohio, Inc. | Current | Accepting new patients |
Locations
6700 Pearl Rd
Parma Heights, OH 44130
Phone (440) 940-1933
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 and National Provider Directory roles.
-
- Home Infusion Agency
- Beachwood, OH
- NPI 1013545490
Licensed Practical Nurse
-
dba MedMark Treatment Centers Parma Heights
- Substance Use Disorder Rehabilitation Clinic/Center
- Parma Heights, OH
- NPI 1366164477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1184288193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26900 GEORGE ZEIGER DR APT 313",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441227610",
"telephone_number": "216-894-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 PEARL RD",
"city": "PARMA HEIGHTS",
"state": "OH",
"postal_code": "441303828",
"telephone_number": "440-941-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "LATASHA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2023-03-29",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.171140.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.