Individual provider Active NPI

Latonia Feagin, CNM

  • Advanced Practice Midwife
  • Mansfield, OH
National Provider Identifier
1285118422
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.019379 Issued in OH
Practice address
770 Balgreen Dr Ste 207
Mansfield, OH 44906-4106
Phone
(419) 522-6800
NPI assigned
Sep 24, 2018
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.019379 OH Primary

Addresses

Primary practice location

770 Balgreen Dr Ste 207
Mansfield, OH 44906-4106

Mailing address

1711 Alcoy Dr
Columbus, OH 43227-3309
Phone (614) 955-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003001085 OH Practitioner - Certified Nurse Midwife (CNM) 0143551234 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN.CNM.019379OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Ohio Corp Advanced Practice Midwife CurrentSince Jan 1, 2025 Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Mar 24, 2020 Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Aug 5, 2019 Accepting new patients

Locations

2458 Stetzer Rd
Unit A
Bucyrus, OH 44820
Phone (419) 834-8889

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

205 W Cook Rd
Mansfield, OH 44907
Phone (567) 309-7333

600 W 3rd St
Mansfield, OH 44906
Phone (419) 525-6722

770 Balgreen Dr
Ste 207
Mansfield, OH 44906
Phone (419) 522-6800

1404 Park Ave W
Ste 2
Ontario, OH 44906

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1285118422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 ALCOY DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432273309",
            "telephone_number": "614-955-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BALGREEN DR STE 207",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064106",
            "telephone_number": "419-522-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "LATONIA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.019379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.