Nathaniel Latta

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

Practice address

41959 Clinton Pines Dr
Clinton Township, MI 48038-2206

Phone

(313) 932-0925

NPI assigned

Jun 28, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Latta Holdings LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clinton Township, MI
  • NPI 1033956479
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1295570489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41959 CLINTON PINES DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41959 CLINTON PINES DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382206",
            "telephone_number": "313-932-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTA",
        "first_name": "NATHANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Renal Dialysis",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larosa Counseling PLLC
• Morgan Larry
• Connie Lynn Lasher, LBSW
• Steven Edmund Latawiec, LLPC
• Latta Holdings LLC
• Sonia Latta, LMSW
• Laurel Tree Counseling, LLC
• Lauren Lietaert LLC
• Lorene Nichole Laurence, LLPC
• Renee Lavigne, MSW

• Renal Dialysis Technician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Renal Dialysis Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.