Latesa Hudson Roberts, DHSC., MSHS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001731 Issued in GA

Practice address

4871 Ship Jack LN
Decatur, GA 30035-3052

Phone

(229) 220-1036

NPI assigned

Dec 30, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1578070595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 SHIP JACK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353052",
            "telephone_number": "229-220-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 SHIP JACK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353052",
            "telephone_number": "229-220-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LATESA",
        "middle_name": "HUDSON",
        "credential": "DHSC., MSHS,  ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Roberts
• Coretta Lavette Roberts, LMSW, LCSW
• Danielle Roberts, DMD
• Frederick L. Roberts, P.A.-C
• Laketa Roberts
• Marc Howard Roberts, D.D.S.
• Oni Twanisha Roberts, N.C.T.M.B, L.N.M.T.
• Rachel Roberts
• Sahirah Roberts, LMSW
• T.M. Robinson-Mosley, PH.D., LPC

• Athletic Trainer in Decatur, GA
• Providers in Decatur, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.