Individual provider Active NPI

Latoya Moore, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Place, LA
National Provider Identifier
1336884113
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
224485 Issued in LA
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

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613000144 LA Practitioner - Nurse Practitioner 6709264245 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
224485LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority CurrentSince May 11, 2022 Accepting new patients
South Central la Human Services Authority CurrentSince May 11, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.