Maurice Trevelle Latham Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

T62676783 Issued in VA

Practice address

928 Summerside CT
Virginia Beach, VA 23456-6373

Phone

(757) 927-2325

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Can I Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Virginia Beach, VA
  • NPI 1881249290
  NPD (past) Authorized official

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1497247407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 SUMMERSIDE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566373",
            "telephone_number": "757-927-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 SUMMERSIDE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566373",
            "telephone_number": "757-927-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "MAURICE",
        "middle_name": "TREVELLE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T62676783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Laska, PA
• Courtney Lasley, LPC
• Lassiter Sponsored Residential Services LLC
• Heather Day Lassiter, PT
• Renee Babette Lassiter
• Natalie Elizabeth Latham, LRIC
• Justin Dean Latino, PA-C
• Sarah Beth Latuga, PA-C
• Ronald Taylor Laub
• Laura a. Dorris, LPC

• Non-emergency Medical Transport (VAN) in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.