Individual provider Active NPI

Laticia Ann Tharrington, NP

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1184694960
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5000713 Issued in NC
Practice address
3523 Rawdon Dr
Durham, NC 27713-1409
Phone
(919) 544-1603
Fax
(919) 484-0565
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5000713 NC Primary

Addresses

Primary practice location

3523 Rawdon Dr
Durham, NC 27713-1409

Mailing address

3050 Regent Blvd Ste 400
Irving, TX 75063-5808
Phone (214) 689-8067

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5000713NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of St. Pauls, LLC PastSince Mar 7, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1184694960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635808",
            "telephone_number": "214-689-8067",
            "fax_number": "877-289-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 RAWDON DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131409",
            "telephone_number": "919-544-1603",
            "fax_number": "919-484-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARRINGTON",
        "first_name": "LATICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5000713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.