Individual provider Active NPI

Latroshia Maree Palmer

  • Family Nurse Practitioner
  • Pittsboro, NC
National Provider Identifier
1417517665
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06191063 Issued in NC
Practice address
75 Freedom Pkwy Ste C
Pittsboro, NC 27312-4939
Phone
(919) 545-0911
Fax
(919) 545-0096
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 F06191063 NC Primary

Addresses

Primary practice location

75 Freedom Pkwy Ste C
Pittsboro, NC 27312-4939

Mailing address

153 Bellemont Rd
Pittsboro, NC 27312-8542
Phone (252) 432-6597

Other practice location 1

70 Cole Pl Unit C
Chapel Hill, NC 27517-8090
Phone (252) 432-6597

Other practice location 2

4601 Lake Boone Trl
Raleigh, NC 27607-0115
Phone (252) 432-6597

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljeffries299680@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220120000065 NC Practitioner - Nurse Practitioner 1254723414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

75 Freedom Pkwy
Suite C
Pittsboro, NC 27312-4939
Phone (984) 545-0911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06191063NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 29, 2021 Accepting new patients

Locations

6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175

6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

75 Freedom Pkwy
Ste C
Pittsboro, NC 27312
Phone (919) 525-0911

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

Interoperability endpoints

  • Direct secure messaging: ljeffries299680@direct.unc.nchie.net

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.

Hospital & facility affiliations 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1417517665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BELLEMONT RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128542",
            "telephone_number": "252-432-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FREEDOM PKWY STE C",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273124939",
            "telephone_number": "919-545-0911",
            "fax_number": "919-545-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Cole Pl Unit C",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275178090",
            "country_code": "US",
            "telephone_number": "252-432-6597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276070115",
            "country_code": "US",
            "telephone_number": "252-432-6597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LATROSHIA",
        "middle_name": "MAREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06191063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljeffries299680@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "75 Freedom Pkwy Ste C",
            "city": "Pittsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273124939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.