Latasha Rene, STUDENT

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1270112 Issued in TX

Practice address

1404 Sumner St
Aubrey, TX 76227-2728

Phone

(469) 371-4335

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Latasha Floyd Former name

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1578344370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SUMNER ST",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762272728",
            "telephone_number": "469-371-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SUMNER ST",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762272728",
            "telephone_number": "469-371-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "LATASHA",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "TX",
            "license": "1270112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "FLOYD",
            "credential": "STUDENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luis Ramirez Madrid
• Manasa Rao, DDS
• Ryan Rediger, DMD
• Mallory Reed
• Morgan Reed
• Hanbin Richards
• Priscila Richmond
• Sarah Richmond
• Princess U Riley, NP
• Ringlife Home Healthcare LLC

• Prevention Professional in Aubrey, TX
• Providers in Aubrey, TX by specialty
• Prevention Professional in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.