Individual provider Active NPI

Latonia Deann Triplett, REGISTERED NURSE

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1508607821
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
5435 Nighthawk Way
Indianapolis, IN 46254-4770
Phone
(317) 912-1141
Fax
(317) 536-3196
NPI assigned
Jun 3, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
Registered Nurse 163W00000X 28163767A IN
Community Health Registered Nurse 163WC1500X 28163767A IN
General Practice Registered Nurse 163WG0000X 28163767A IN
Infusion Therapy Registered Nurse 163WI0500X 28163767A IN

Addresses

Primary practice location

5435 Nighthawk Way
Indianapolis, IN 46254-4770

Mailing address

9511 Angola CT Ste 205
Indianapolis, IN 46268-3193
Phone (317) 912-1141

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
28163767AINMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Innucare Shared Living CurrentSince Jun 9, 2024 Accepting new patients
Certified Hearts LLC Clinical Medical Laboratory CurrentSince Sep 29, 2024 Accepting new patients

Locations

9511 Angola Ct
Ste 205
Indianapolis, IN 46268
Phone (317) 796-8682

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1508607821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 ANGOLA CT STE 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683193",
            "telephone_number": "317-912-1141",
            "fax_number": "317-608-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 NIGHTHAWK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544770",
            "telephone_number": "317-912-1141",
            "fax_number": "317-536-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "LATONIA",
        "middle_name": "DEANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28163767A",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IN",
            "license": "28163767A",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28163767A",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "IN",
            "license": "28163767A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.