Lori Michele Latona, CRNP
Individual provider Active NPI Family Nurse Practitioner · Salisbury, MD
NPI 1457583759 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1457583759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R167525 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Tidalhealth Peninsula Regional, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150105000896 | MD | Practitioner - Nurse Practitioner | 9234364936 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG0000633 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Peninsula Regional, Inc. | Current |
Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Family | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current |
Accepting new patients | |
| Oc Internal Medicine | Current |
Accepting new patients | |
| Tidalhealth Primary Care, LLC | Current |
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
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
145 E Carroll St
Ste A
Salisbury, MD 21801
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
540 Riverside Dr
Ste 14
Salisbury, MD 21801
Phone (410) 304-7440
1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475
428 W Market St
Snow Hill, MD 21863
Phone (410) 632-0892
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG0000633 | DE | |
| Family Nurse Practitioner | 363LF0000X | R167525 | MD | Yes |
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
Other providers in Salisbury, MD
- Kathey Jean Larger
- Milcah Larks
- Amanda Lynn Larsen
- Kaylee Ann Lasher
- Ashley Latona
- Blaise Mitchell Lavorgna
- Ashley Lynn Lawrance
- Eric Lawrence
- Jazmin Yvonne Lawrence
- Jacob Leo Lawson
All providers in Salisbury, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.