Individual provider Active NPI

Latasha Evans, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1568063873
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP022724 Issued in PA
Practice address
6232 Market St
Philadelphia, PA 19139-2922
Phone
(215) 444-7672
NPI assigned
Nov 3, 2020
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP022724 PA Primary

Addresses

Primary practice location

6232 Market St
Philadelphia, PA 19139-2922

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (127) 339-7303

Other practice location 1

7440 Rogers Ave
Upper Darby, PA 19082-2010
Phone (610) 931-0000

Other names 1

  • Ms. Latasha Evans Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210901001947 PA Practitioner - Nurse Practitioner 1153727094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

6232 Market St
Philadelphia, PA 19139-2922
Phone (215) 444-7672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022724PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC CurrentSince Jun 29, 2021 Accepting new patients

Locations

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

6232 Market St
Philadelphia, PA 19139
Phone (215) 444-7672

Organizations & group practices 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1568063873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "127-339-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392922",
            "telephone_number": "215-444-7672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190822010",
            "country_code": "US",
            "telephone_number": "610-931-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LATASHA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP022724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "EVANS",
            "prefix": "MS.",
            "credential": "MSN,RN, AGPCNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.