Individual provider Active NPI

Latasha N Jones, CNA,CMT,PHAR TECH

  • Personal Care Attendant
  • Florissant, MO
National Provider Identifier
1508604117
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
104149 Issued in MO
Practice address
3699 Whispering Woods Dr
Florissant, MO 63031-1155
Phone
(314) 319-4222
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X CDL MO
Pharmacy Technician 183700000X 2005039654 MO
Home Health Agency 251E00000X 135924 MO
Nursing Care Agency 251J00000X 104149 MO
In Home Supportive Care Agency 253Z00000X 135924 MO
Chore Provider 372500000X 135924 MO
Adult Companion 372600000X 135924 MO
Attendant Care Provider 3747A0650X 104149 MO
Home Health Aide 374U00000X 135924 MO
Homemaker 376J00000X 135924 MO
Nurse's Aide 376K00000X 104149 MO
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 104149 MO Primary

Addresses

Primary practice location

3699 Whispering Woods Dr
Florissant, MO 63031-1155

Mailing address

3699 Whispering Woods Dr
Florissant, MO 63031-1155
Phone (314) 319-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDLMOMDDriver
2005039654MOMDPharmacy Technician
135924MOMDIn Home Supportive Care Agency
104149MOMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1508604117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 WHISPERING WOODS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311155",
            "telephone_number": "314-319-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 WHISPERING WOODS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311155",
            "telephone_number": "314-319-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LATASHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "CNA,CMT,PHAR TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MO",
            "license": "CDL",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2005039654",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "104149",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MO",
            "license": "104149",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MO",
            "license": "135924",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "104149",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "MO",
            "license": "104149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.