Active NPI
Latoya Moore, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- La Place, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 224485
- Practice address
- 1809 W Airline Hwy
La Place, LA 70068-3336 - Phone
- (985) 652-8444
- NPI assigned
- May 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 224485 | LA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10061469 | OR |
Addresses
Primary practice location
1809 W Airline Hwy
La Place, LA 70068-3336
Mailing address
9048 Fox Gate Dr
Baton Rouge, LA 70809-5244
Phone (225) 279-1695
Other practice location 1
132 E Broadway Ste 431
Eugene, OR 97401-3158
Phone (541) 390-4559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1809 W Airline Hwy
La Place, LA 70068-3336
Phone (985) 652-8444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224485 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central la Human Services Authority | Current | Accepting new patients | |
| South Central la Human Services Authority | Current | Accepting new patients |
Locations
805 Barrow St
Houma, LA 70360
Phone (985) 857-3615
158 Regal Row
Houma, LA 70360
Phone (985) 876-8889
5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615
1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444
500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460
157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJJCA
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houma, LA
- NPI 1104250265
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgan City, LA
- NPI 1124452289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1336884113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9048 FOX GATE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708095244",
"telephone_number": "225-279-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 W AIRLINE HWY",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683336",
"telephone_number": "985-652-8444"
}
],
"practiceLocations": [
{
"address_1": "132 E Broadway Ste 431",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013158",
"country_code": "US",
"telephone_number": "541-390-4559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LATOYA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "224485",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10061469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.