Gwendolyn Lattie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R152199 Issued in MD

Practice address

1165 Imperial Dr Ste 300
Hagerstown, MD 21740-6556

Phone

(301) 665-9098

NPI assigned

Jun 11, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gwendolyn.lattie@735.securemail.prognocis.com

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• The Children'S Doctor

  • Primary Care Clinic/Center
  • Hagerstown, MD
  • NPI 1639208994
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1245808732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406556",
            "telephone_number": "301-665-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406556",
            "telephone_number": "301-665-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIE",
        "first_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R152199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Lantz
• Thomas M Larkin, M.D.
• Christopher Larrimore, DO
• Cassondra Marie Larsen, CNM
• Mohammed Latif, MD
• Judy Lau, MD
• Lauren Fahrney, Pmhnp, LLC
• Lorianne Marie Lavelle, OTRL
• Sandra Lee Law, PTA
• Ashley Lawal

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.