Latena Montgomery-Booker, RN
Individual provider Active NPI Case Management Registered Nurse · Ovilla, TX
NPI 1245929256 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1245929256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 796850 (TX)
- Practice address
- 6960 Cedar CT
Ovilla, TX 75154-3342 - Phone
- (405) 210-4390
- NPI assigned
- May 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 796850 | TX | MD | Infection Control Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 796850 | TX | |
| Infection Control Registered Nurse | 163WI0600X | 796850 | TX | |
| Wound Care Registered Nurse | 163WW0000X | 796850 | TX | |
| Case Management Registered Nurse | 163WC0400X | 796850 | TX | Yes |
Addresses
Primary practice location
6960 Cedar CT
Ovilla, TX 75154-3342
Mailing address
6960 Cedar CT
Ovilla, TX 75154-3342
Phone (405) 210-4390
Other providers in Ovilla, TX
- Esther Caroline Loko
- Long-Washington Counseling and Consulting
- Ashlee Long-Washington
- Scott Maness
- Barbara Moffett
- Terra Mulrenan
- Munir F Bishara, M.D.
- Machanta Evette Newson
- Oakwood Medical Services, PLLC
- Macquenie Palmer-Beckford
All providers in Ovilla, TX · Case Management Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.