Individual provider Active NPI

Latisha Renea Amos, DC, FNP

  • Primary Care Nurse Practitioner
  • Brookshire, TX
National Provider Identifier
1184772931
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP138721 Issued in TX
Practice address
606 Waller Ave
Brookshire, TX 77423-9371
Phone
(281) 934-1000
NPI assigned
Jan 8, 2007
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP138721 TX Primary
Chiropractor 111N00000X 8885 TX

Addresses

Primary practice location

606 Waller Ave
Brookshire, TX 77423-9371

Mailing address

8055 FM 359 Rd S Unit 323
Fulshear, TX 77441-1313
Phone (832) 216-2244

Other practice location 1

301 S 9th St Ste 115
Richmond, TX 77469-3448
Phone (281) 344-2400

Other practice location 2

8055 Fm 359 Rd S Unit 323
Fulshear, TX 77441-1313
Phone (832) 216-2244

Other identifiers 2

IdentifierTypeStateIssuer
F06182646OtherTXADVANCE PRACTICE REGISTER NURSE
522352314OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6107 Mustang Trail LN
Fulshear, TX 77441-1121
Phone (832) 216-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP138721TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clyde McMorris MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: latisha.amos@3870.securemail.prognocis.com

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, 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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1184772931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 FM 359 RD S UNIT 323",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411313",
            "telephone_number": "832-216-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WALLER AVE",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774239371",
            "telephone_number": "281-934-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 9th St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693448",
            "country_code": "US",
            "telephone_number": "281-344-2400",
            "fax_number": "281-344-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8055 Fm 359 Rd S Unit 323",
            "address_purpose": "LOCATION",
            "city": "Fulshear",
            "state": "TX",
            "postal_code": "774411313",
            "country_code": "US",
            "telephone_number": "832-216-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOS",
        "first_name": "LATISHA",
        "middle_name": "RENEA",
        "name_prefix": "Dr.",
        "credential": "DC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP138721",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTER NURSE",
            "identifier": "F06182646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "522352314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookshire, TX

Sources for this page

Verify at the official NPI Registry.