Ayesha Latifah Lackna, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2025006595 Issued in MO

Practice address

615 Rancho LN
Florissant, MO 63031-1717

Phone

(847) 235-6130

Fax

(847) 235-6135

NPI assigned

Mar 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Karefirst Missouri PCGroup PAC ID 1052605383, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Karefirst Missouri PC

  • Nurse Practitioner
  • Saint Peters, MO
  • NPI 1942658943
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1285433722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE # 390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RANCHO LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311717",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Spencer Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762425",
            "country_code": "US",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKNA",
        "first_name": "AYESHA",
        "middle_name": "LATIFAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-08",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2025006595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Kuhn, RRT
• Victoria M Kunstman
• Amber Jo Kwentus, LPC
• Kyn'S Caring Hands LLC
• La Cross Dental
• Tanja Lacy
• Ladelle Investment Co., Inc.
• Sopan Lahewala, M.D.
• Racheal Lakine-Harden, FNP
• Gilbert Lakine II

• Acute Care Nurse Practitioner in Florissant, MO
• Providers in Florissant, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.