Individual provider Active NPI

Latasha S Davis, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1306388251
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
829048 Issued in NV
Practice address
2870 S Maryland Pkwy Ste 210
Las Vegas, NV 89109-1548
Phone
(702) 758-4219
Fax
(702) 760-0227
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 829048 NV
Nurse Practitioner 363L00000X 829048 NV Primary

Addresses

Primary practice location

2870 S Maryland Pkwy Ste 210
Las Vegas, NV 89109-1548

Mailing address

2870 S Maryland Pkwy Ste 210
Las Vegas, NV 89109-1548
Phone (702) 507-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20230202001515 NV Practitioner - Nurse Practitioner 4284833179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Gene Valpiani MD LTD 2 clinicians
Centennial Medical Group LLP 10 clinicians

Practice addresses (Care Compare)

2940 S Jones Blvd
Suite C
Las Vegas, NV 89146-5630
Phone (702) 485-3914

4454 N Decatur Blvd
Las Vegas, NV 89130-5286
Phone (702) 839-1203

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
829048NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Purecare Home Health LLC Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 23, 2025 Accepting new patients
Centennial Medical Group LLP CurrentSince Jan 3, 2023 Accepting new patients
Centennial Medical Group LLP CurrentSince Jan 3, 2023 Accepting new patients

Locations

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

2870 S Maryland Pkwy
Ste 210
Las Vegas, NV 89109
Phone (702) 758-4219

2110 E Flamingo Rd
Ste 330
Las Vegas, NV 89119

4454 N Decatur Blvd
Las Vegas, NV 89130
Phone (702) 507-0996

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCJBA/Endpoint/JJCJBA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1306388251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-507-0983",
            "fax_number": "702-839-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-758-4219",
            "fax_number": "702-760-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LATASHA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "829048",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "829048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.