Individual provider Active NPI

Latresha J McBride, MD

  • Pediatrics Physician
  • Cleveland, TX
National Provider Identifier
1255522447
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N5851 Issued in TX
Practice address
300 E Houston, Ste a
Cleveland, TX 77327
Phone
(281) 592-9775
Fax
(281) 432-0548
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP1-0029095 TX
Pediatrics Physician 208000000X N5851 TX Primary

Addresses

Primary practice location

300 E Houston, Ste a
Cleveland, TX 77327

Mailing address

108 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 659-2355

Other identifiers 1

IdentifierTypeStateIssuer
4643414935OtherMYUTMB 4643414935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000630 TX Practitioner - Pediatric Medicine 7012151277 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0029095TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Medical, PA CurrentSince Aug 1, 2013 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Locations

300 E Houston St
#B
Cleveland, TX 77327
Phone (281) 592-9777

108 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-9775

300 E Houston St
#A
Cleveland, TX 77327
Phone (281) 592-2884

8484 Will Clayton Pkwy
Humble, TX 77338
Phone (832) 680-2273

Interoperability endpoints

  • Direct secure messaging: latresha.mcbride@cmcliv.eclinicaldirectplus.com

Organizations & group practices 2

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1255522447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-659-2355",
            "fax_number": "281-592-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOUSTON, STE A",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-592-9775",
            "fax_number": "281-432-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "LATRESHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP1-0029095",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4643414935",
            "identifier": "4643414935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.