Active NPI
Latashi Thorpe, LPN
- Licensed Practical Nurse
- Irwinton, GA
National Provider Identifier
1609397652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 059037
- Practice address
- 114 Church St
Irwinton, GA 31042-2557 - Phone
- (478) 595-1344
- NPI assigned
- Jun 29, 2017
- Last updated
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 059037 | GA | Primary |
Addresses
Primary practice location
114 Church St
Irwinton, GA 31042-2557
Mailing address
PO Box 40
Irwinton, GA 31042-0040
Phone (478) 595-1344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059037 | Other | LPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059037 | GA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1609397652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "IRWINTON",
"state": "GA",
"postal_code": "310420040",
"telephone_number": "478-595-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CHURCH ST",
"city": "IRWINTON",
"state": "GA",
"postal_code": "310422557",
"telephone_number": "478-595-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORPE",
"first_name": "LATASHI",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "059037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN",
"identifier": "059037",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irwinton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.