Latisha Renee Stalling-Carter, NEMT
Individual provider Active NPI Driver · Greenwell Springs, LA
NPI 1275245136 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1275245136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 010055766 (LA)
- Practice address
- 16934 Kenton Ave
Greenwell Springs, LA 70739-5231 - Phone
- (225) 367-0282
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010055766 | LA | MD | Driver |
| 296420 | LA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My'Honor Transportation LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 296420 | LA | |
| Driver | 172A00000X | 010055766 | LA | Yes |
Addresses
Primary practice location
16934 Kenton Ave
Greenwell Springs, LA 70739-5231
Mailing address
16934 Kenton Ave
Greenwell Springs, LA 70739-5231
Phone (225) 367-0282
NPI Registry JSON
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1275245136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16934 KENTON AVE",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707395231",
"telephone_number": "225-367-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16934 KENTON AVE",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707395231",
"telephone_number": "225-367-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLING-CARTER",
"first_name": "LATISHA",
"middle_name": "RENEE",
"credential": "NEMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "296420",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "010055766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwell Springs, LA
- Jalyn Smith
- Tammy Smith
- Smoove Ride LLC
- Tamala Spears
- Gabrielle Michele Spurlock
- Asia S Starwood Crockett
- Strahan Urgent Care LLC
- Collin Strickland
- Kandy C Tarver
- James A Taylor Jr.
All providers in Greenwell Springs, LA · Driver in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. 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.