Active NPI
Latasha C Baxter, LPN
- Licensed Practical Nurse
- Toledo, OH
National Provider Identifier
1205180601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 147164
- Practice address
- 1714 Macomber St
Toledo, OH 43606-4455 - Phone
- (567) 322-4939
- NPI assigned
- Nov 7, 2012
- 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 | 147164 | OH | Primary |
Addresses
Primary practice location
1714 Macomber St
Toledo, OH 43606-4455
Mailing address
1714 Macomber St
Toledo, OH 43606-4455
Phone (567) 322-4939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147164 | Other | OH | OHIO BOARD OF NURSING |
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 |
|---|---|---|---|
| 147164 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1205180601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 MACOMBER ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436064455",
"telephone_number": "567-322-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 MACOMBER ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436064455",
"telephone_number": "567-322-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "LATASHA",
"middle_name": "C",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "147164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF NURSING",
"identifier": "147164",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.