Individual provider Active NPI

Latonya L Haddad, NP

  • Pediatrics Physician
  • Spring, TX
National Provider Identifier
1396316683
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1011779 Issued in TX
Practice address
6000 W Rayford Rd Apt 3201
Spring, TX 77389-2211
Phone
(832) 741-2474
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1011779 TX Primary

Addresses

Primary practice location

6000 W Rayford Rd Apt 3201
Spring, TX 77389-2211

Mailing address

525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017
Phone (832) 672-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1011779TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health and Wellness Clinic &Spa, PLLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

525 N Sam Houston Pkwy E
Ste 255
Houston, TX 77060
Phone (713) 896-6990

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1396316683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E STE 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604017",
            "telephone_number": "832-672-4739",
            "fax_number": "832-575-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W RAYFORD RD APT 3201",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892211",
            "telephone_number": "832-741-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "LATONYA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "1011779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.