Individual provider Active NPI

Latisha Marie Ward

  • Family Nurse Practitioner
  • Stanton, TX
National Provider Identifier
1609341007
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139148 Issued in TX
Practice address
600 East Interstate 20
Stanton, TX 79782
Phone
(432) 607-3200
NPI assigned
Oct 11, 2018
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP139148 TX
Family Nurse Practitioner 363LF0000X AP139148 TX Primary

Addresses

Primary practice location

600 East Interstate 20
Stanton, TX 79782

Mailing address

PO Box 640
Stanton, TX 79782-0640
Phone (432) 607-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address latisha.ward.1@3522.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190521002209 TX Practitioner - Nurse Practitioner 7517200215 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139148TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Martin County Hospital District CurrentSince Jan 9, 2023 Accepting new patients
Martin County Hospital District CurrentSince Jan 9, 2023 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

1501 W 11th Pl
Ste 106
Big Spring, TX 79720
Phone (432) 267-1611

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

Interoperability endpoints

  • Direct secure messaging: latisha.ward.1@3522.direct.athenahealth.com

Organizations & group practices 3

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1609341007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "STANTON",
            "state": "TX",
            "postal_code": "797820640",
            "telephone_number": "432-607-3200",
            "fax_number": "432-682-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST INTERSTATE 20",
            "city": "STANTON",
            "state": "TX",
            "postal_code": "79782",
            "telephone_number": "432-607-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "LATISHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-02-08",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP139148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latisha.ward.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2601 Wasson Rd",
            "city": "Big Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanton, TX

Sources for this page

Verify at the official NPI Registry.