Individual provider Active NPI

Latasha E. Gilpatrick, APRN

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1578863957
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006533 Issued in KY
Practice address
210 Lindsey Wilson Street
Columbia, KY 42728-1223
Phone
(844) 435-0900
Fax
(270) 858-4607
NPI assigned
Nov 1, 2010
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006533 KY Primary

Addresses

Primary practice location

210 Lindsey Wilson Street
Columbia, KY 42728-1223

Mailing address

PO Box 1080
Burkesville, KY 42717-1080

Other identifiers 2

IdentifierTypeStateIssuer
12165683OtherCAQH
7100141750MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110113000084 KY Practitioner - Nurse Practitioner 2365631942 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 28, 2021 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 6, 2021 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 6, 2021 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

210 Lindsey Wilson St
Columbia, KY 42728
Phone (270) 384-8138

478 Whirlaway Dr
#100
Danville, KY 40422
Phone (859) 236-6613

93 College St
Hustonville, KY 40437
Phone (606) 346-3831

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

285 Education Way
Stanford, KY 40484
Phone (606) 365-8400

60 Education Way
Stanford, KY 40484
Phone (606) 365-9111

101 Old Fort Rd
Stanford, KY 40484
Phone (606) 365-2191

305 Danville Ave
Stanford, KY 40484
Phone (606) 365-7287

345 KY Highway 328 W
Waynesburg, KY 40489
Phone (606) 379-6413

75 Tick Ridge Rd
Waynesburg, KY 40489
Phone (606) 365-2768

Organizations & group practices 4

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1578863957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LINDSEY WILSON STREET",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281223",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPATRICK",
        "first_name": "LATASHA",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12165683",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100141750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.