Latorri Smith, REGISTERED NURSE

Key facts

NPI

1285326595

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

887056 (MS)

Practice address

124 Apple St
Ridgecrest, LA 71334-3602

Phone

(601) 870-2763

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Best Envision Health Louisiana Home Health Registered Nurse · Ridgecrest, LA · NPI 1295427359
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2023.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1285326595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 APPLE ST",
            "city": "RIDGECREST",
            "state": "LA",
            "postal_code": "713343602",
            "telephone_number": "601-870-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 APPLE ST",
            "city": "RIDGECREST",
            "state": "LA",
            "postal_code": "713343602",
            "telephone_number": "601-870-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATORRI",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "887056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, LA

• Best Envision Health Louisiana
• Melissa A Kelly

All providers in Ridgecrest, LA · Registered Nurse in Louisiana