Individual provider Active NPI

Latacha Nicole Ramos, PR

  • Case Management Agency
  • Little Rock, AR
National Provider Identifier
1235744293
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
092 Issued in AR
Practice address
8404 Baseline Rd
Little Rock, AR 72209-4339
Phone
(501) 663-0708
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 092 AR Primary

Addresses

Primary practice location

8404 Baseline Rd
Little Rock, AR 72209-4339

Mailing address

5606 Stella Cir
North Little Rock, AR 72118-3674
Phone (501) 554-5489

Other names 1

  • Latacha Nicole Ramos Professional name

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

LicenseStateTypeSpecialty
092ARMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Freshly Renewed Transitional CurrentSince Sep 1, 2021 Accepting new patients

Locations

8404 Baseline Rd
Little Rock, AR 72209
Phone (501) 663-0708

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1235744293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 STELLA CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183674",
            "telephone_number": "501-554-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094339",
            "telephone_number": "501-663-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "LATACHA",
        "middle_name": "NICOLE",
        "credential": "PR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATACHA",
            "last_name": "RAMOS",
            "middle_name": "NICOLE",
            "credential": "PR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.