Individual provider Active NPI

Latrecia M Herring, M.D.

  • Internal Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1215923453
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34157 Issued in AZ
Practice address
560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone
(520) 836-5538
Fax
(520) 836-6998
NPI assigned
Sep 22, 2005
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34157 AZ Primary
Pediatrics Physician 208000000X 34157 AZ

Addresses

Primary practice location

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759

Mailing address

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538

Other identifiers 1

IdentifierTypeStateIssuer
972613MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050930000093 AZ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7911932744 Reassigns benefits to 1 organization
I20161005000309 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7911932744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34157AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Medical Group PLLC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 13, 2016 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 13, 2016 Accepting new patients
Gila River Regional Behavioral Health Authority CurrentSince May 18, 2020 Accepting new patients
Gila River Health Care CurrentSince May 18, 2020 Accepting new patients
Gila River Health Care Corporation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1980 W Pecos Rd
Chandler, AZ 85224
Phone (480) 821-1268

2121 W Elgin St
Chandler, AZ 85224
Phone (480) 478-9029

3800 S Alma School Rd
Ste 112
Chandler, AZ 85248
Phone (480) 907-7707

3744 S Rome St
Gilbert, AZ 85297
Phone (480) 224-9500

13620 N 55th Ave
Glendale, AZ 85304
Phone (602) 588-1047

4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949

7201 W Camino San Xavier
Glendale, AZ 85308
Phone (623) 703-2748

330 S Pinnule Cir
Mesa, AZ 85206
Phone (480) 981-0687

51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333

107 E Lone Pine Dr
Payson, AZ 85541
Phone (928) 474-6896

807 W Longhorn Rd
Payson, AZ 85541
Phone (928) 474-1120

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

11411 N 19th Ave
Phoenix, AZ 85029
Phone (602) 256-7500

1880 E Van Buren St
Phoenix, AZ 85006
Phone (602) 253-4570

2509 N 24th St
Phoenix, AZ 85008
Phone (602) 273-1347

3008 N 3rd St
Phoenix, AZ 85012
Phone (602) 313-6000

3130 E Broadway Rd
Phoenix, AZ 85040

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

4065 E Bell Rd
Phoenix, AZ 85032
Phone (602) 867-0212

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

4635 N 14th St
Phoenix, AZ 85014
Phone (602) 264-9039

8008 S Jesse Owens Pkwy
Phoenix, AZ 85042
Phone (602) 243-2780

11150 N 92nd St
Scottsdale, AZ 85260
Phone (480) 860-1766

3293 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 947-7443

12207 N 113th Ave
Youngtown, AZ 85363
Phone (623) 977-6532

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1215923453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "520-836-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "520-836-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "LATRECIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34157",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972613",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.