Active NPI
Laiken Latimer
- Psychiatric/Mental Health Nurse Practitioner
- Jamestown, NY
National Provider Identifier
1396402277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403789
- Practice address
- 779 Fairmount Ave
Jamestown, NY 14701-2608 - Phone
- (716) 205-0325
- Fax
- (716) 205-0371
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403789 | NY | Primary |
Addresses
Primary practice location
779 Fairmount Ave
Jamestown, NY 14701-2608
Mailing address
779 Fairmount Ave
Jamestown, NY 14701-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Mental Health Counseling Services PLLC | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| Chautauqua Nurse Practitioner in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Olean General Hospital | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
779 Fairmount Ave
Jamestown, NY 14701
Phone (716) 322-9088
515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993
515 Main St
Olean, NY 14760
Phone (716) 373-2600
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jamestown, NY
- NPI 1073403952
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jamestown, NY
- NPI 1003641606
-
- General Practice Physician
- Bradford, PA
- NPI 1649296781
NY, Psychiatric/Mental Health
-
dba Foothills Medical Group
- General Practice Physician
- Olean, NY
- NPI 1033499017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1396402277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012608",
"fax_number": "716-205-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012608",
"telephone_number": "716-205-0325",
"fax_number": "716-205-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "LAIKEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.