Individual provider Active NPI

Lori Michele Latona, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1457583759
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R167525 Issued in MD
Practice address
540 Riverside Dr Ste 14
Salisbury, MD 21801-5352
Phone
(410) 304-7440
Fax
(410) 449-1158
NPI assigned
Aug 20, 2009
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG0000633 DE
Family Nurse Practitioner 363LF0000X R167525 MD Primary

Addresses

Primary practice location

540 Riverside Dr Ste 14
Salisbury, MD 21801-5352

Mailing address

540 Riverside Dr Ste 14
Salisbury, MD 21801-5352
Phone (410) 304-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150105000896 MD Practitioner - Nurse Practitioner 9234364936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

540 Riverside Dr
Suite 14
Salisbury, MD 21801-5352
Phone (410) 304-7440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0000633DEMDFamily Nurse Practitioner
R167525MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Internal Medicine CurrentSince Jun 22, 2022 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family Current Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Oct 31, 2014 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Oct 31, 2014 Accepting new patients

Locations

11101 Cathage Rd
Unit 102
Berlin, MD 21811
Phone (410) 912-6104

11101 Cathage Rd
Ocean Pnes, MD 21811
Phone (410) 543-4769

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-0300

145 E Carroll St
Ste A
Salisbury, MD 21801

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

540 Riverside Dr
Ste 14
Salisbury, MD 21801
Phone (410) 304-7440

428 W Market St
Snow Hill, MD 21863
Phone (410) 543-4715

Organizations & group practices 5

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.

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1457583759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 14",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-304-7440",
            "fax_number": "410-449-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 14",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-304-7440",
            "fax_number": "410-449-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONA",
        "first_name": "LORI",
        "middle_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.