Individual provider Active NPI

Latasha Nicole Baxter, CRNP

  • Adult Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1497778690
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R171236 Issued in MD
Practice address
2121 Medical Park Dr
Suite 2
Silver Spring, MD 20902-4054
Phone
(301) 681-3003
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R171236 MD Primary

Addresses

Primary practice location

2121 Medical Park Dr
Suite 2
Silver Spring, MD 20902-4054

Mailing address

11312 Big Horn CT
Beltsville, MD 20705-1428
Phone (716) 310-5495

Other identifiers 1

IdentifierTypeStateIssuer
1497778690MedicaidMD

Other names 1

  • Ms. Latasha Nicole Evans Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070227000640 DC Practitioner - Nurse Practitioner 5991807604 Reassigns benefits to 1 organization
I20230317000037 MD Practitioner - Nurse Practitioner 5991807604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 Northview Dr
Suite 211
Bowie, MD 20716-2647

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxcare Clinical Consultants CurrentSince Aug 16, 2020 Accepting new patients
Nurse Practitioner Group LLC CurrentSince Oct 1, 2019 Accepting new patients
Clinical Imaging of Silver Spring LLC Past Accepting new patients
Diagnostic Medical Imaging PA PastSince Oct 24, 2021 Accepting new patients
Clinical Radiologists Medical Imaging PA Past Accepting new patients

Locations

151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090

4201 Northview Dr
Ste 211
Bowie, MD 20716
Phone (240) 206-9485

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1497778690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 BIG HORN CT",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051428",
            "telephone_number": "716-310-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024054",
            "telephone_number": "301-681-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "LATASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R171236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497778690",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "EVANS",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.