Individual provider Active NPI

Latrina Dubois-Hornsby, APN

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1609457332
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310157 Issued in NY
Practice address
40 Birch PL Uppr
Buffalo, NY 14215-3002
Phone
(716) 897-1184
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 310157 NY Primary

Addresses

Primary practice location

40 Birch PL Uppr
Buffalo, NY 14215-3002

Mailing address

40 Birch PL Uppr
Buffalo, NY 14215-3002
Phone (716) 897-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210615002920 NY Practitioner - Nurse Practitioner 6608276449 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Medical Group P.C. Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Infinity Medical of Wny PC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Ion Oltean Physician PC Single Specialty CurrentSince Jun 8, 2021 Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1609457332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BIRCH PL UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153002",
            "telephone_number": "716-897-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BIRCH PL UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153002",
            "telephone_number": "716-897-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS-HORNSBY",
        "first_name": "LATRINA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.