Tina Marie Latimore

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

512 W Thomas St
Rocky Mount, NC 27804-5336

Phone

(984) 345-3455

Fax

(984) 840-5900

NPI assigned

Mar 16, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Marie Ishmal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innerlogic Home Care, Inc

  • In Home Supportive Care Agency
  • Rocky Mount, NC
  • NPI 1407557283
  NPD Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1417658279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W THOMAS ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045336",
            "telephone_number": "984-345-3455",
            "fax_number": "984-840-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W THOMAS ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045336",
            "telephone_number": "984-345-3455",
            "fax_number": "984-840-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMORE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "ISHMAL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie Ezzell Langley, MSCCC-SLP
• Kathryn Patricia Langston, MHS, PA-C
• Ashley Pearsall Lanier, DPT
• Larry J. Moray, DDS, Ms, PA (MyOrthodontist)
• Marzena T Laszewski, MD
• Latita's Helping Hands
• Laura Jacimore, PA
• Morgan Laushaw
• David Michael Lavely, O.D.
• Emily Ann Elizabeth Laws

• Home Health Aide in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.