Laterra Brown, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

905000 Issued in MS

Practice address

1701 White Street
McComb, MS 39648

Phone

(601) 684-2173

Fax

(601) 249-1062

NPI assigned

Jan 15, 2022

Sex

Female

Sole proprietor

No

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.

• Region 12 Commission on Mental Health & Retardation Pine Belt Men

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hattiesburg, MS
  • NPI 1982610572

  MS, Single Specialty

  Medicare reassignment Care Compare group NPD
• Focus Solutions Mental Health Resources LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookhaven, MS
  • NPI 1326881798

  Psychiatric/Mental Health

  NPD Authorized official
• Region XII Commission

  • General Practice Physician
  • Laurel, MS
  • NPI 1467767988

  Single Specialty

  NPD
• Primesource Nursing Services, Inc

  • Nurse Practitioner
  • Gulfport, MS
  • NPI 1801987870

  Single Specialty

  NPD (past)
• Southwest Mississippi Mental Health Mental Retardation Commission

  • Social Worker
  • McComb, MS
  • NPI 1366694820
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Region 12 Commission on Mental Health and Retardation Pine Belt Men 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MS

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laterra.brown1@navy.mil

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2023.

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1417608985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WHITE STREET",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482711",
            "telephone_number": "601-249-4235",
            "fax_number": "601-249-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WHITE STREET",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-684-2173",
            "fax_number": "601-249-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LATERRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03722090",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMHNP CERTIFICATION",
            "identifier": "2021028561",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Laterra.brown1@navy.mil",
            "affiliation": "N",
            "address_1": "370 Courthouse Rd",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395071889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Destiny Grace Broom, FNP
• Issac Duane Broussard, M.D.
• Rita Brown-Bobkoskie, CMHT
• Cherie Elizabeth Brown, RPH
• Gwendolyn Michelle Brown, CNA
• Megan Brown, MS CCC-SLP
• Tosha Brown
• Janice D Brumfield, LPN
• Pamela Brumfield
• Tomieka Brumfield

• All providers in McComb, MS
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.