Latayatacha O Freeman-Ross, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

009726-7269 Issued in LA

Practice address

900 Johnson Street
Suite a
Tallulah, LA 71282

Phone

(318) 574-5080

Fax

(318) 574-5052

NPI assigned

Jul 7, 2011

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Madison Parish Hospital Service District

  dba Madison Parish Hospital

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608
  Medicare reassignment NPD
• Madison Parish Hospital Service District

  dba Leonard P Neumann Rural Health Clinic

  • Rural Health Clinic/Center
  • Tallulah, LA
  • NPI 1215492137
  NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1184911349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNSON STREET",
            "address_2": "SUITE A",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "71282",
            "telephone_number": "318-574-5080",
            "fax_number": "318-574-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON STREET",
            "address_2": "SUITE A",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "71282",
            "telephone_number": "318-574-5080",
            "fax_number": "318-574-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-ROSS",
        "first_name": "LATAYATACHA",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "009726-7269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233598",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christal S Florice, FNP-C
• Johnesha Fort
• Isaac Fost
• Charles Foster III
• Eddie Fountain
• Fresenius Medical Care Madison Parish Dialysis Cen (FMC Madison Parish Dialysis Center)
• Zellanda Frost
• Megan Fudge
• G & M Healthcare Services
• Takenya Gales

• Family Nurse Practitioner in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.