Individual provider Active NPI

Latonya Simone Hardy, APN

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1376963041
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000018640 Issued in TN
Practice address
2747 Bartlett Blvd
Bartlett, TN 38134-4580
Phone
(901) 748-5308
Fax
(901) 529-7716
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000018640 TN Primary

Addresses

Primary practice location

2747 Bartlett Blvd
Bartlett, TN 38134-4580

Mailing address

4165 Pine Hill CV N
Lakeland, TN 38002-8111
Phone (901) 229-1787

Other practice location 1

2747 Bartlett Blvd
Bartlett, TN 38134-4580
Phone (901) 748-5308

Other identifiers 2

IdentifierTypeStateIssuer
00477311MedicaidMS
Q021963MedicaidTN

Other names 1

  • Latonya Simone Hardy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140825001374 TN Practitioner - Nurse Practitioner 6901024462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2747 Bartlett Blvd
Memphis, TN 38134-4580
Phone (901) 748-5308

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000018640TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy House Your Family Healthcare Provider, PLLC CurrentSince Feb 18, 2019 Accepting new patients

Locations

2747 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 590-3332

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25047/brand/1/csg/1/fhir/r4
  • Direct secure messaging: latonya.hardy.1@25047.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1376963041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 PINE HILL CV N",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028111",
            "telephone_number": "901-229-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344580",
            "telephone_number": "901-748-5308",
            "fax_number": "901-529-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 BARTLETT BLVD",
            "address_purpose": "LOCATION",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344580",
            "country_code": "US",
            "telephone_number": "901-748-5308",
            "fax_number": "901-529-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "LATONYA",
        "middle_name": "SIMONE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00477311",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021963",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONYA",
            "last_name": "HARDY",
            "middle_name": "SIMONE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.