Lateefa Antrom, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015881 Issued in PA

Practice address

1427 Horsham Rd
North Wales, PA 19454-1320

Phone

(215) 326-9065

Fax

(215) 703-9776

NPI assigned

Mar 31, 2016

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Medical Services LLCGroup PAC ID 3971998717, 13 clinicians

Wellness Medical SVCS PCGroup PAC ID 7315487980, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Wellness Medical Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Wales, PA
  • NPI 1649926049
  Medicare reassignment Care Compare group NPD
• Wellness Medical SVCS PC

  • Internal Medicine Physician
  • North Wales, PA
  • NPI 1538992045
  Medicare reassignment Care Compare group NPD
• Patient Sortal Health PLLC

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1790442077

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1487017125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 ROSE LN",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543623",
            "telephone_number": "610-506-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541320",
            "telephone_number": "215-326-9065",
            "fax_number": "215-703-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194034233",
            "country_code": "US",
            "telephone_number": "215-543-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTROM",
        "first_name": "LATEEFA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amdent LTD.
• Mira Amin
• Natalie Rose Andinolfi, IBCLC
• Ahtia Andrews
• Leah Andrews
• Nicholas Anzideo, PA
• Apple Family Dentistry
• Arlene M. Lavner
• Jennifer Ashley Arno, PHARMD
• Christiane L. Arsever, MD

• Family Nurse Practitioner in North Wales, PA
• Providers in North Wales, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.